Individual provider Active NPI

Benjamin Collin Stong, M.D.

  • Otolaryngology Physician
  • Dahlonega, GA
National Provider Identifier
1356547749
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
054676 Issued in GA
Practice address
134 Ansley Dr
Suite 400
Dahlonega, GA 30533-1639
Phone
(706) 864-5934
Fax
(706) 864-4912
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 054676 GA Primary

Addresses

Primary practice location

134 Ansley Dr
Suite 400
Dahlonega, GA 30533-1639

Mailing address

134 Ansley Dr
Dahlonega, GA 30533-1639
Phone (706) 864-5934

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
I20070827000242 GA Practitioner - OtolaryngologyPractitioner - Allergy/ImmunologyPractitioner - Plastic and Reconstructive Surgery 0840382537 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc CurrentSince Sep 16, 2011 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Sep 16, 2011 Accepting new patients
Allergy and ENT of Ga Past Accepting new patients
Georgia Heart Institute LLC PastSince Jan 8, 2018 Accepting new patients
Southern Health Corporation of Dahlonega, Inc Past Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1356547749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 ANSLEY DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331639",
            "telephone_number": "706-864-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 ANSLEY DR",
            "address_2": "SUITE 400",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331639",
            "telephone_number": "706-864-5934",
            "fax_number": "706-864-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONG",
        "first_name": "BENJAMIN",
        "middle_name": "COLLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "054676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dahlonega, GA

Sources for this page

Verify at the official NPI Registry.