Dr. Elias Dagnew, M.D.
Neurological Surgery in Johns Creek, GA. Individual provider (NPI-1).
NPI number1962408930
StatusActive
Last updated in NPPESDec 19, 2019
Details
- NPI
- 1962408930
- Entity type
- Individual (NPI-1)
- Name
- Dr. Elias Dagnew
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2005
- Certification date
- Dec 19, 2019
- Last updated
- Dec 19, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NEUROSURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | ME96941 | GA | Yes |
| 207T00000X | Neurological Surgery | 054606 | GA | |
| 207T00000X | Neurological Surgery | ME96941 | FL |
Practice location
9635 Ventana Way Ste 201Johns Creek, GA 30022-8622
Phone 404-446-4424 · Fax 404-446-4420
Mailing address
11877 Douglas RdSuite 102-272
Alpharetta, GA 30005-4325
Phone 404-446-4424 · Fax 404-446-4420
Other practice locations
203 Oakside Ln Ste A
Canton, GA 30114-6407
Canton, GA 30114-6407
Phone 404-446-4424 · Fax 404-446-4420
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Other Neurological Surgery Physician providers in Johns Creek, GA
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