Active NPI
Thomas Comstock, M.D.
- Otolaryngology Physician
- Carrollton, GA
National Provider Identifier
1164576534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 019151
- Practice address
- 1480S Highway 27
Carrollton, GA 30117-8901 - Phone
- (770) 836-9445
- Fax
- (770) 838-8808
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 019151 | GA | |
| Occupational Medicine Physician | 2083X0100X | 019151 | GA | |
| Otolaryngology Physician | 207Y00000X | 019151 | GA | Primary |
Addresses
Primary practice location
1480S Highway 27
Carrollton, GA 30117-8901
Mailing address
119 Ambulance Dr
Suite 202
Carrollton, GA 30117-3857
Phone (770) 838-8710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019151 | GA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMC/Villa Rica Hospital, Inc | Past | Accepting new patients | |
| TMC/Villa Rica Hospital, Inc | Past | Accepting new patients | |
| TMC/Higgins General Hospital | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Bremen, GA
- NPI 1194712083
-
- Psychiatric Hospital Unit
- Villa Rica, GA
- NPI 1104066265
-
- General Acute Care Hospital
- Villa Rica, GA
- NPI 1851388748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442880000000",
"number": "1164576534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 AMBULANCE DR",
"address_2": "SUITE 202",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173857",
"telephone_number": "770-838-8710",
"fax_number": "770-836-9353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480S HIGHWAY 27",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301178901",
"telephone_number": "770-836-9445",
"fax_number": "770-838-8808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMSTOCK",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2015-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "019151",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "GA",
"license": "019151",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "019151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.