ENT and Voice Care of Atlanta, Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

048947 Issued in GA

Legal business name

ENT AND VOICE CARE OF ATLANTA, INC

Practice address

1390 Montreal Rd
Ste 120
Tucker, GA 30084-8143

Phone

(770) 939-7707

Fax

(770) 939-7706

NPI assigned

Aug 1, 2006

Last updated

Nov 28, 2007By 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

Yvette V Leslie, M.D.NPI 1871500017

Title

President/Ceo

Phone

(770) 939-7707

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Yvette V Leslie, M.D.

  • Otolaryngology Physician
  • Lithonia, GA
  • NPI 1871500017
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1225044852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33457",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300330457",
            "telephone_number": "770-939-7707",
            "fax_number": "770-939-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 MONTREAL RD",
            "address_2": "STE 120",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848143",
            "telephone_number": "770-939-7707",
            "fax_number": "770-939-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT AND VOICE CARE OF ATLANTA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "770-939-7707",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "048947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000869492F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Tucker, GA
• Providers in Tucker, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.