Individual provider Active NPI

James Ding, DO

  • Otolaryngology Physician
  • Lawrenceville, GA
National Provider Identifier
1396249173
Registry record updated May 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
94967 Issued in GA
Practice address
766 Walther Rd Ste 300
Lawrenceville, GA 30046-8765
Phone
(215) 871-6694
Fax
(215) 871-6695
NPI assigned
Mar 19, 2018
Last updated
May 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2023

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 94967 GA Primary

Addresses

Primary practice location

766 Walther Rd Ste 300
Lawrenceville, GA 30046-8765

Mailing address

766 Walther Rd Ste 300
Lawrenceville, GA 30046-8765
Phone (770) 237-3000

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
I20230622000248 GA Practitioner - OtolaryngologyPractitioner - Allergy/ImmunologyPractitioner - Diagnostic Radiology 0446618532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology, Diagnostic Radiology
Education
Philadelphia College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Atlanta Ear Nose and Throat, P.C.Group PAC ID 7012979636, 15 clinicians

Practice addresses (Care Compare)

3915 Johns Creek CT
Suite 100
Suwanee, GA 30024-6674
Phone (770) 623-1608

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Atlanta Ear Nose & Throat, PC Otolaryngology CurrentSince Jul 1, 2023 Accepting new patients
Northlake Anesthesia Professionals, LLC CurrentSince May 21, 2023 Accepting new patients

Locations

2645 Old Winder Hwy
Braselton, GA 30517

2089 Teron Trce
Ste 215
Dacula, GA 30019
Phone (678) 835-1135

766 Walther Rd
Ste 300
Lawrenceville, GA 30046
Phone (770) 237-3000

3915 Johns Creek Ct
Ste 100
Suwanee, GA 30024
Phone (770) 623-1608

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684022400000",
    "number": "1396249173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 WALTHER RD STE 300",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468765",
            "telephone_number": "770-237-3000",
            "fax_number": "770-237-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 WALTHER RD STE 300",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468765",
            "telephone_number": "215-871-6694",
            "fax_number": "215-871-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DING",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2023-05-14",
        "certification_date": "2023-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "94967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.