OrganizationActive
Granite Mountain Neurology, PC
NPI 1194784900 · Neurology Physician · Prescott, AZ
Granite Mountain Neurology, PC is a Neurology Physician organization in Prescott, AZ (NPI 1194784900).
Provider details
- NPI number
- 1194784900
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Golen, President(928) 771-2338
- License
- 23522 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
802 Ainsworth Dr
Suite B
Prescott, AZ 86301-1630
Phone: (928) 771-2338
Fax: (928) 771-2339
Street-level locationGet directions
Mailing address
802 Ainsworth Dr
Prescott, AZ 86301-1630
Registry dates
- Enumerated
- 2006-03-21
- Last updated
- 2012-02-16
Frequently asked questions
- What is Granite Mountain Neurology, PC's NPI number?
- Granite Mountain Neurology, PC's National Provider Identifier (NPI) is 1194784900, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Granite Mountain Neurology, PC?
- Granite Mountain Neurology, PC is classified in the NPPES registry as Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Granite Mountain Neurology, PC located?
- Granite Mountain Neurology, PC's practice location on file with NPPES is 802 Ainsworth Dr, Prescott, AZ 86301-1630.
- What is Granite Mountain Neurology, PC's phone number?
- The practice phone number listed in the NPPES registry for Granite Mountain Neurology, PC is (928) 771-2338.
- Who is the authorized official for Granite Mountain Neurology, PC?
- The authorized official listed on Granite Mountain Neurology, PC's NPPES record is Donald Golen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Granite Mountain Neurology, PC's NPI active?
- Yes — Granite Mountain Neurology, PC's NPI (1194784900) is active in the NPPES registry as of the last update on 2012-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.