Peachtree Ear, Nose & Throat Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

044724 Issued in GA

Legal business name

PEACHTREE EAR, NOSE & THROAT CENTER, LLC

Practice address

1776 Peachtree St NW
North Tower, Suite 260
Atlanta, GA 30309-2307

Phone

(404) 591-9100

Fax

(404) 591-9101

NPI assigned

Mar 28, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elaina F George, MDNPI 1316949571

Title

President

Phone

(404) 591-9100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elaina Flossie George, M.D.

  • Specialist
  • Atlanta, GA
  • NPI 1316949571
  NPD Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144349614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 PEACHTREE ST NW",
            "address_2": "NORTH TOWER, SUITE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092307",
            "telephone_number": "404-591-9100",
            "fax_number": "404-591-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 PEACHTREE ST NW",
            "address_2": "NORTH TOWER, SUITE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092307",
            "telephone_number": "404-591-9100",
            "fax_number": "404-591-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE EAR, NOSE & THROAT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-591-9100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "044724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peachtree Eye Associates P C
• Peachtree Family Psychiatry Clinic
• Peachtree Family Services

• Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.