Provider Demographics
NPI:1194786129
Name:NEUROLOGY ASSOCIATES
Entity type:Organization
Organization Name:NEUROLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DREW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-762-4115
Mailing Address - Street 1:1605 S LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38464-4053
Mailing Address - Country:US
Mailing Address - Phone:931-762-4115
Mailing Address - Fax:931-762-4119
Practice Address - Street 1:1605 S LOCUST AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:TN
Practice Address - Zip Code:38464-4053
Practice Address - Country:US
Practice Address - Phone:931-762-4115
Practice Address - Fax:931-762-4119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD400832084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3333275Medicaid
TN4108155OtherBLUE CROSS TN
TN5472103Other890-24496
TN=========OtherCCN NETWORK
TN3333275Medicaid
TN4108155OtherBLUE CROSS TN
TN=========OtherUNITED HEALTH CARE
TN=========OtherPRIME HEALTHCARE
TN=========OtherPRIVATE HEALTH SYSTEMS
TN=========OtherBEECHSTREET
TN=========5643277OtherFIRST HEALTH
TN=========OtherCIGNA HEALTHCARE
TN=========OtherHUMANA TRICARE-STANDARD