National Provider Identifier Database

HEADWAY NEURO PLLC
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

HEADWAY NEURO, PLLC
3889 COBB PKWY NW
ACWORTH, GA30101-4084
Phone: 404-665-3149
Fax: 404-665-3149
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for HEADWAY NEURO, PLLC

NPI Number 1164387106
Legal business name
LBN
HEADWAY NEURO, PLLC
Authorized official BRANDON MINES - (MEMBER)
Entity Organization
Organization subpart No
Enumeration date 12/22/2025
Last updated 12/22/2025 - About 5 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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