Individual provider Active NPI

Jennifer L. Tirino, M.D.

  • Otology & Neurotology Physician
  • Alpharetta, GA
National Provider Identifier
1215928239
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
69142 Issued in GA
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

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2108283MedicaidMA

Other names 1

  • Jennifer L. Tirino Professional name

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
I20130225000234 GA Practitioner - Otolaryngology 1153355300 Reassigns benefits to 1 organization

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
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

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 Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Union General Hospital Hospital, Blairsville, GA, CCN 110051
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69142GAMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince Aug 16, 2024 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

  • Direct secure messaging: jtirino@northsideent.emadirect.md
  • Direct secure messaging: jennifer.tirino.p137@direct.tenet.nextgenshare.com
  • Direct secure messaging: jtirino@entofga.emadirect.md
  • Direct secure messaging: jtirino123282@directwellstar.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.