NORTHWEST ENT SURGERY CENTER LLC NPI 1982978466

NPI Information

  • NPI: 1982978466
  • Provider Name: NORTHWEST ENT SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 11D2180410
  • Address: 960 WOODSTOCK PKWY
    SUITE 101
    WOODSTOCK, GA
    ZIP 30188
  • Phone: (678) 483-8833

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NPI Details

NORTHWEST ENT SURGERY CENTER, LLC is an ambulatory surgical clinic center in Woodstock, GA. NORTHWEST ENT SURGERY CENTER, LLC NPI is 1982978466. The provider is registered as an organization entity type.

The provider's business location address is:

960 WOODSTOCK PKWY
SUITE 101
WOODSTOCK, GA
ZIP 30188-866
Phone: (678) 483-8833
Fax: (678) 483-8809

The provider's authorized official is Carlos M Egea .
The authorized official title is Administrator and has the following contact phone number (770) 427-0368.

The CLIA number assigned to this NPI record is 11D2180410 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of nasal air passage under lining tissue (HCPCS:30140)
  • Reshaping of nasal cartilage (HCPCS:30520)
  • Removal or exploration of parathyroid glands (HCPCS:60500)
  • Incision of nasal sinus using an endoscope (HCPCS:31256)

The enumeration date for this NPI number is 3/1/2012 and was last updated on 1/18/2013.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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
1028-461OTHERGEORGIAGEORGIA STATE LICENSE
211C0001386MEDICARE OSCAR/CERTIFICATIONGEORGIA

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: 11/21/2025

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