Organization Active NPI

Atlanta ENT Sinus & Allergy Associates PC

  • Specialist
  • Atlanta, GA
National Provider Identifier
1285619544
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
020005 Issued in GA
Legal business name
ATLANTA ENT SINUS & ALLERGY ASSOCIATES PC
Practice address
5555 Peachtree Dunwoody Rd NE
Suite 125
Atlanta, GA 30342-1703
Phone
(404) 255-2918
Fax
(404) 255-5837
NPI assigned
Dec 9, 2005
Last updated
Jul 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Ms. Leyla Farman
Title
Administrator
Phone
(404) 255-3510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 020005 GA Primary

Addresses

Primary practice location

5555 Peachtree Dunwoody Rd NE
Suite 125
Atlanta, GA 30342-1703

Mailing address

5555 Peachtree Dunwoody Rd NE
Suite 125
Atlanta, GA 30342-1703
Phone (404) 255-2918

Other names 1

  • Tritt Breathe & Sleep Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040920000803 GA Part B Supplier - Clinic/Group Practice 2365410156 Receives reassigned benefits from 6 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

17 Executive Park Dr NE
Ste 250
Atlanta, GA 30329
Phone (678) 904-4390

101 Greenfield Dr
Ste 200
Cumming, GA 30040

5555 Peachtree Dunwoody Rd
Ste 125
Sandy Springs, GA 30342
Phone (404) 255-2918

5555 Ptree Dunwoody Rd NE
Ste 235
Sandy Springs, GA 30342
Phone (404) 255-2918

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1285619544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 125",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421703",
            "telephone_number": "404-255-2918",
            "fax_number": "404-250-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 125",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421703",
            "telephone_number": "404-255-2918",
            "fax_number": "404-255-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA ENT SINUS & ALLERGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "FARMAN",
        "authorized_official_first_name": "LEYLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-255-3510",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "020005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tritt Breathe & Sleep Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.