Active NPI
Benjamin Collin Stong, M.D.
- Otolaryngology Physician
- Dahlonega, GA
National Provider Identifier
1356547749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 054676
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070827000242 | GA | Practitioner - Otolaryngology | 0840382537 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Allergy and ENT of Ga | Past | Accepting new patients | |
| Georgia Heart Institute LLC | Past | 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.
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Family Medicine Physician
- Dahlonega, GA
- NPI 1205919404
-
- Cardiovascular Disease Physician
- Gainesville, GA
- NPI 1477976520
-
- Family Medicine Physician
- Dahlonega, GA
- NPI 1619201357
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.