Active NPI
Jennifer L. Tirino, M.D.
- Otology & Neurotology Physician
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otology & Neurotology Physician
- License
- 69142
- Practice address
- 3400 Old Milton Pkwy Ste A410
Alpharetta, GA 30005-3761 - Phone
- (770) 251-8742
- Fax
- (678) 254-0618
- NPI assigned
- Oct 31, 2005
- Sex
- Female
- Sole proprietor
- No
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 | 69142 | GA | Primary |
Addresses
Primary practice location
3400 Old Milton Pkwy Ste A410
Alpharetta, GA 30005-3761
Mailing address
3400A Old Milton Pkwy Ste 410
Alpharetta, GA 30005-4438
Phone (770) 225-1874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2108283 | Medicaid | MA |
Other names 1
- Jennifer L. Tirino
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Johnson Ferry NE
Atlanta, GA 30342-1606
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000
3400 Old Milton Pkwy
Suite A240
Alpharetta, GA 30005-3708
Phone (770) 667-4465
450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000
Hospital & facility affiliations
- Northside Hospital
- Northside Hospital Cherokee
- Northside Hospital Forsyth
- Union General Hospital
- Northside Hospital Gwinnett
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69142 | GA | MD | Otology & Neurotology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Surgical Professional Services LLC | Current | Accepting new patients | |
| Massachusetts Eye and Ear Associates, Inc. | Past | Accepting new patients | |
| Northside Ear, Nose & Throat, PC | Past | Accepting new patients | |
| Thomas a. Johnson, DDS | Past | Accepting new patients |
Locations
3400 Old Milton Pkwy
Ste 410
Alpharetta, GA 30005
Phone (770) 225-1874
3400 Old Milton Pkwy
Ste A410
Alpharetta, GA 30005
Phone (678) 805-2246
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Interoperability endpoints
- jtirino@northsideent.emadirect.md
- jennifer.tirino.p137@direct.tenet.nextgenshare.com
- jtirino@entofga.emadirect.md
- jtirino123282@directwellstar.org
- jtirino63679@choa.gadirect.net
Organizations & group practices 4
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.
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
-
- Otolaryngology Physician
- Roswell, GA
- NPI 1013071273
-
- Oral and Maxillofacial Radiology Dentistry
- Roswell, GA
- NPI 1699945311
-
- Ophthalmology Physician
- Boston, MA
- NPI 1932574332
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
-
- General Acute Care Hospital
- Blairsville, GA
- NPI 1487684122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1215928239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400A OLD MILTON PKWY STE 410",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054438",
"telephone_number": "770-225-1874",
"fax_number": "678-254-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 OLD MILTON PKWY STE A410",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300053761",
"telephone_number": "770-251-8742",
"fax_number": "678-254-0618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIRINO",
"first_name": "JENNIFER",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "GA",
"license": "69142",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2108283",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "TIRINO",
"middle_name": "L.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.