ENT of Cherokee

Primary specialty

SpecialistTaxonomy code 174400000X

License

052632 Issued in GA

Legal business name

ENT OF CHEROKEE

Practice address

100 Medical LN
Suite 4
Canton, GA 30114-2492

Phone

(770) 720-0838

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

Tammy A Slay

Title

Billing Specialist

Phone

(770) 720-0838

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gordon Carl Shipp, M.D.

  • Otolaryngology Physician
  • Little Rock, AR
  • NPI 1689730459
  NPD (past)

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1396927216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL LN",
            "address_2": "SUITE 4",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142492",
            "telephone_number": "770-720-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL LN",
            "address_2": "SUITE 4",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142492",
            "telephone_number": "770-720-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT OF CHEROKEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "SLAY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "770-720-0838"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "052632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amira M Elsayed, M.D.
• William Greg Elwell, D.M.D.
• Munit Emlaelu, MD
• Stephen Z Emmons, LMSW
• Renee N. Emory, APRN
• Candice Nacole Enzor, H.S.T
• Anita A Epps, LPC
• Parham Eshtehardi, M.D.
• Aldo Espinoza, M.D.
• Etowah Eye Clinic, P.C.

• Specialist in Canton, GA
• Providers in Canton, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.