Individual provider Active NPI

Dozier Russell Hood, M.D.

  • Otolaryngology Physician
  • Fayetteville, GA
National Provider Identifier
1023015195
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
043652 Issued in GA
Practice address
1240 Highway 54 W BLDG 700 Ste 710
Fayetteville, GA 30214-4565
Phone
(770) 991-2800
Fax
(770) 997-3827
NPI assigned
Jul 5, 2005
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 043652 GA Primary
Sleep Medicine (Otolaryngology) Physician 207YS0012X 043652 GA

Addresses

Primary practice location

1240 Highway 54 W BLDG 700 Ste 710
Fayetteville, GA 30214-4565

Mailing address

1240 Highway 54 W BLDG 700 Ste 710
Fayetteville, GA 30214-4565
Phone (678) 534-5922

Other identifiers 8

IdentifierTypeStateIssuer
52617132OtherGABCBS OF GEORGIA
5378554OtherGAAETNA HMO/POS
8183317OtherGACIGNA
8378554OtherGAAETMA FEE FOR SERVICE
O40016917OtherGARAILROAD MEDICARE
000749383BMedicaidGA
000749383CMedicaidGA
000749383DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914000125 GA Practitioner - Otolaryngology 4082647706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Emory University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Atlanta Ear Nose and Throat PCGroup PAC ID 7113908302, 12 clinicians

Practice addresses (Care Compare)

1240 Hwy 54 W
Suite 710
Fayetteville, GA 30214-4565
Phone (678) 534-5922

1240 Hwy 54 W 710
Fayetteville, GA 30214-4565

830 Eagles Landing Pkwy
Suite 102
Stockbridge, GA 30281-7366
Phone (678) 534-5922

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.47 of 100Reported as individual
Quality
49.77
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
043652GAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Atlanta Ear Nose & Throat, PC CurrentSince Jan 1, 2014 Accepting new patients
ENT of Georgia, LLC Otolaryngology PastSince May 31, 2012 Accepting new patients
Piedmont Medical Care Corporation PastSince Jun 1, 2021 Accepting new patients
South Atlanta Ambulatory Surgical Center, LLC Past Accepting new patients
Earl S. Golightly, M.D.,P.C Otolaryngology PastSince May 19, 2017 Accepting new patients

Locations

1218 W Paces Ferry Rd NW
Ste 208
Atlanta, GA 30327
Phone (770) 991-2800

1240 Highway 54 W
Ste 710
Fayetteville, GA 30214
Phone (678) 534-3309

1240 Highway 54 W
Ste 700
Fayetteville, GA 30214
Phone (404) 452-9931

6525 Professional Pl
Ste C
Riverdale, GA 30274
Phone (770) 991-2800

830 Eagles Landing Pkwy
Ste 101
Stockbridge, GA 30281
Phone (402) 779-6135

830 Eagles Landing Pkwy
Ste 102
Stockbridge, GA 30281
Phone (678) 534-5922

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.518
  • Direct secure messaging: dozier.hood.1@27014.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1023015195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 HIGHWAY 54 W BLDG 700 STE 710",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144565",
            "telephone_number": "678-534-5922",
            "fax_number": "770-997-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 HIGHWAY 54 W BLDG 700 STE 710",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144565",
            "telephone_number": "770-991-2800",
            "fax_number": "770-997-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD",
        "first_name": "DOZIER",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "043652",
            "primary": true
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "GA",
            "license": "043652",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GEORGIA",
            "identifier": "52617132",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO/POS",
            "identifier": "5378554",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8183317",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETMA FEE FOR SERVICE",
            "identifier": "8378554",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "O40016917",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000749383B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000749383C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000749383D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.