OrganizationActive
Live Oak Neurology LLC
NPI 1861961427 · Electrodiagnostic Medicine Physician · Lawrenceville, GA
Provider details
- NPI number
- 1861961427
- Entity type
- Organization
- Primary specialty
- Electrodiagnostic Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Doreen Shinn, Vp(609) 380-3305
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
850 Dogwood Rd Ste B2002002
Lawrenceville, GA 30044-7218
Phone: (404) 900-9540
Street-level locationGet directions
Mailing address
850 Dogwood Rd Ste B2002002
Lawrenceville, GA 30044-7218
Registry dates
- Enumerated
- 2018-11-13
- Last updated
- 2018-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.