Active NPI
Michael Canfarotta, MD
- Otology & Neurotology Physician
- Roswell, GA
National Provider Identifier
1083147425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otology & Neurotology Physician
- License
- 112882
- Practice address
- 1360 Upper Hembree Rd Ste 201B
Roswell, GA 30076-1230 - Phone
- (770) 475-3361
- NPI assigned
- Apr 4, 2017
- Last updated
- Jul 9, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otology & Neurotology Physician | 207YX0901X | 112882 | GA | Primary |
Addresses
Primary practice location
1360 Upper Hembree Rd Ste 201B
Roswell, GA 30076-1230
Mailing address
805 Sandy Plains Rd
Marietta, GA 30066-6340
Phone (770) 792-5451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170905003102 | NC | Order and Referring Only - Otolaryngology | 2860765369 | |
| I20240713000568 | TN | Order and Referring Only - Otolaryngology | 2860765369 |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Connecticut School of Medicine, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 670747
Marietta, GA 30066
PO Box
Suite 670747
Marietta, GA 30066-0130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112882 | GA | MD | Otology & Neurotology Physician |
Interoperability endpoints
- mcanfarotta135447@directhisp.wakemed.org
- mcanfarotta816538@direct.vumc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1083147425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SANDY PLAINS RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666340",
"telephone_number": "770-792-5451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 UPPER HEMBREE RD STE 201B",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761230",
"telephone_number": "770-475-3361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANFAROTTA",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-04",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "GA",
"license": "112882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
- Ashlianne Campbell
- Earl Vendryes Campbell III, M.D.
- Emelda Shurrell Campbell
- Tonya Lynn Campbell, CRNA
- Robert Canecchio III, P.T., D.P.T.
- Jennifer Lynn Cano, RN, BSN,IBCLC
- Christine Cantilena Barnes, LPC, NCC, MS, CPCS
- Cindy Hoang Cao, PHARMD
- Cap Atl LLC (Collaborative Anesthesia Partners Georgia)
- Capcare Transport LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.