Piedmont Ear Nose &Throat Associates PC
Organization Active NPI Otolaryngology/Facial Plastic Surgery Physician · Atlanta, GA
NPI 1245305879 · NPPES record last updated Dec 16, 2024
Key facts
- NPI
- 1245305879
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician 207YX0905X
- Legal business name
- PIEDMONT EAR NOSE &THROAT ASSOCIATES PC
- Practice address
- 1720 Peachtree Street
Suite 200
Atlanta, GA 30309-1605 - Phone
- (404) 351-5045
- Fax
- (404) 351-0883
- NPI assigned
- Nov 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Tatiana Sycheva-Johnson
- Title
- Billing Manager
- Phone
- (470) 563-6468
Subparts reporting this organization as parent 1
Practitioners 26
-
Savannah L Barr, PA-C
-
David Robert Braatz, M.S.
-
Kingsley N Chin, MD
-
Karen Kaye Hoffmann, M.D.
-
John K Jarboe, MD
-
Megan Nicole Keyser, AUD
-
Lauren Langan, AUD
-
Craig Alan Richman, M.D.
-
Mohammad Seyyedi, M.D.
-
Christa E.L. Coore-Powell, AU.D.
-
Jun H Kim, PA-C
-
Alexis Victoria Delconte, PA-C
-
Lindsey Kiesgen, AU.D.
-
Kathryn Giuli Brown, AU.D.
-
Jennifer S. Koczor, AU.D.
-
Michael David Dileo, M.D.
-
Janet Hurley, P.A.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1100174 | Piedmont Ear Nose Throat and Allergy | Certificate of waiver | May 31, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050104000298 | GA | Part B Supplier - Clinic/Group Practice | 8527024124 |
Receives reassigned benefits from 19 practitioners Practice locations: Atlanta, GA |
National Provider Directory
Locations
35 Collier Rd NW
Ste 455
Atlanta, GA 30309
Phone (248) 563-3883
1720 Peachtree St NW
Ste 200
Atlanta, GA 30309
Phone (404) 351-5045
5445 Meridian Mark Rd
Ste 125
Sandy Springs, GA 30342
Phone (404) 351-5045
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician |
207YX0905X | Yes |
Addresses
Primary practice location
1720 Peachtree Street
Suite 200
Atlanta, GA 30309-1605
Mailing address
1720 Peachtree Street
Suite 200
Atlanta, GA 30309-1605
Phone (404) 351-5045
Other providers in Atlanta, GA
- Piedmont Cardiology of Atlanta, LLC
- Piedmont Cardiology of Georgia LLC
- Piedmont Colorectal Associates, PC
- Piedmont Dermatology, LLC
- Piedmont Ear Nose & Throat Associates
- Piedmont Ed Professionals, LLC
- Piedmont ENT Hearing LLC
- Piedmont GYN and OB PC
- Piedmont Health Clinic, P.C.
- Piedmont Healthcare
All providers in Atlanta, GA · Otolaryngology/Facial Plastic Surgery Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.