De Novo Brain & Spine
NPI 1578420998ActiveOrganization· Neurological Surgery· Stockbridge, GA
Neurological Surgery in Stockbridge, Georgia, registered in NPPES in January 2026. The authorized official on file is Larry Roland Shannon, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578420998 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2026 |
| Last updated in NPPES | Jan 7, 2026 |
| Certified by provider | Jan 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neurological Surgery Primary | 207T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
Other Neurological Surgery providers in Stockbridge
- 1295784429
- 1225217920
- 1275762429