ENT OF ATHENS LLC NPI 1598822280

NPI Information

NPI: 1598822280
Provider Name: ENT OF ATHENS, LLC
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
150 NACOOCHEE AVE
ATHENS, GA
ZIP 30601
Phone: (706) 546-7908
Get Directions

ENT OF ATHENS, LLC is an otolaryngology/facial plastic surgery otolaryngology in Athens, GA. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. ENT OF ATHENS, LLC NPI is 1598822280. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 NACOOCHEE AVE
ATHENS, GA
ZIP 30601-823
Phone: (706) 546-7908
Fax: (706) 546-0918

The provider's authorized official is Amy Ellis .
The authorized official title is Insurance Clerk and has the following contact phone number (706) 546-7908.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 6/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	12368	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D30796	MEDICARE UPIN	GEORGIA
2	E58124	MEDICARE UPIN	GEORGIA
3	000135924A	MEDICAID	GEORGIA
4	581198425	OTHER	GEORGIA	INDIVIDUAL TAX ID
5	581440304	OTHER	GEORGIA	INDIVIDUAL TAX ID
6	256623008B	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
7	000135902A	MEDICAID	GEORGIA
8	427967818B	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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