ENT Associates of Atlanta

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AG0915134 Issued in GA

Legal business name

ENT ASSOCIATES OF ATLANTA

Practice address

1136 Cleveland Avenue
Eastpoint, GA 30344

Phone

(404) 768-9350

NPI assigned

Nov 4, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Fortson, MD

Title

MD

Phone

(404) 768-9350

Specialties & licenses 1

Addresses

Tax ID family

ENT Associates of Atlanta2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• James K. Fortson, M.D., P.C.

  • Otolaryngology Physician
  • East Point, GA
  • NPI 1245385806
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1003289786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303443618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVENUE",
            "city": "EASTPOINT",
            "state": "GA",
            "postal_code": "30344",
            "telephone_number": "404-768-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT ASSOCIATES OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "FORTSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "404-768-9350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "AG0915134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfortlink Healthcare, LLC
• Dimple Rani Majumder, M.D., PH.D.

• Clinic/Center in Eastpoint, GA
• Providers in Eastpoint, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.