NBA LLC – Clinical Neuropsychologist, NPI 1720408883

NBA LLC is a healthcare provider. based in Augusta, Georgia. specializing in Clinical Neuropsychologist. They hold a License No. 0810004950 (VA). The NPI Number for NBA LLC is 1720408883

Main info

Organization
Inactive
Name
NBA LLC
NPI
1720408883
Phone
(706) 823-5250
Address
639 13TH ST
Deactivation Date
13 October 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness80
Years active:0State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for NBA LLC

  • 639 13TH ST

    AUGUSTA, GA 309011007

    Phone: (706) 823-5250

    Fax: (706) 823-5266

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30901)

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Reviews

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Frequently asked questions

Is NBA LLC listed with a National Provider Identifier?
Yes — NBA LLC has NPI 1720408883 on file in the registry.
Does inactive status mean NBA LLC stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is NBA LLC?
NBA LLC is associated with Clinical Neuropsychologist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for NBA LLC?
Travel planning: use Augusta, Georgia as the reference point for NBA LLC, then confirm.
When was this NPI issued?
Enumeration for NBA LLC is noted as not shown in this record where the registry provides it.

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