Hafiah Eltahir, DO

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

94957 Issued in GA

Practice address

4150 Deputy Bill Cantrell Memorial Road #260
Cumming, GA 30040

Phone

(770) 292-3045

NPI assigned

Mar 30, 2018

Last updated

Jul 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Otolaryngology

Education

Alabama College of Osteopathic Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Atlanta Ear Nose and Throat PCGroup PAC ID 9830403229, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
• Northside Hospital Hospital, Atlanta, GA, CCN 110161
• Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Atlanta Ear Nose & Throat PC

  • Otolaryngology Physician
  • Cumming, GA
  • NPI 1871970210
  Medicare reassignment Care Compare group NPD
• North Atlanta Ear, Nose & Throat Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Cumming, GA
  • NPI 1639696529
  NPD (past)
• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northeast Georgia Medical Center, Inc.

  • General Acute Care Hospital
  • Gainesville, GA
  • NPI 1427055821
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital Forsyth

  • General Acute Care Hospital
  • Cumming, GA
  • NPI 1376574277
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1316443328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 CARROLL COVE PKWY",
            "city": "MC CALLA",
            "state": "AL",
            "postal_code": "351113498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL ROAD #260",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "770-292-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTAHIR",
        "first_name": "HAFIAH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "94957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Ellison, MS, LAPC, NCC
• Kristen M Ellison
• Leslie Maria Ells, R.PH.
• Chantal Elmore, DPT
• Nora Elshazly
• Embrace Orthodontics Cumming LLC
• Empower Sports Chiropractic LLC
• Empowerme Rehabilitation Georgia, LLC
• Empowerme Rehabilitation, LLC
• Encompass Health Rehabilitation Hospital of Cumming, LLC (Encompass Health Rehabilitation Hospital of Cumming)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.

Verify at the official NPI Registry.