Active NPI
Lanny Garth Close, M.D.
- Otolaryngology Physician
- Atlanta, GA
National Provider Identifier
1366419129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 079175
- Practice address
- 5670 Peachtree Dunwoody Rd Ste 1280
Atlanta, GA 30342 - Phone
- (404) 257-1589
- Fax
- (404) 303-1950
- NPI assigned
- Mar 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 198569 | NY | |
| Otolaryngology Physician | 207Y00000X | 079175 | GA | Primary |
Addresses
Primary practice location
5670 Peachtree Dunwoody Rd Ste 1280
Atlanta, GA 30342
Mailing address
5670 Peachtree Dunwoody Rd Ste 1280
Atlanta, GA 30342-4792
Phone (404) 257-1589
Other practice location 1
5730 Glenridge Dr Ste T200
Sandy Springs, GA 30328-5873
Phone (404) 256-5428
Other practice location 2
3333 Old Milton Pkwy Ste 520
Alpharetta, GA 30005-4437
Phone (770) 777-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079175 | GA | MD | Otolaryngology Physician |
| 198569 | NY | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1366419129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5670 PEACHTREE DUNWOODY RD STE 1280",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303424792",
"telephone_number": "404-257-1589",
"fax_number": "404-303-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5670 PEACHTREE DUNWOODY RD STE 1280",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30342",
"telephone_number": "404-257-1589",
"fax_number": "404-303-1950"
}
],
"practiceLocations": [
{
"address_1": "5730 Glenridge Dr Ste T200",
"address_purpose": "LOCATION",
"city": "Sandy Springs",
"state": "GA",
"postal_code": "303285873",
"country_code": "US",
"telephone_number": "404-256-5428",
"fax_number": "404-250-1881",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 Old Milton Pkwy Ste 520",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300054437",
"country_code": "US",
"telephone_number": "770-777-1100",
"fax_number": "770-751-9089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLOSE",
"first_name": "LANNY",
"middle_name": "GARTH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "198569",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "079175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.