Individual provider Active NPI

Raymond Howard III, M.D.

  • Otolaryngology Physician
  • Rome, GA
National Provider Identifier
1427041631
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
51145 Issued in GA
Practice address
107 John Maddox Drive
Rome, GA 30165-1494
Phone
(706) 235-0116
Fax
(706) 235-5533
NPI assigned
Aug 24, 2005
Reactivated
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 051145 GA
Otolaryngology Physician 207Y00000X 51145 GA Primary

Addresses

Primary practice location

107 John Maddox Drive
Rome, GA 30165-1494

Mailing address

107 John Maddox Drive
Rome, GA 30165-1494
Phone (706) 235-0116

Other identifiers 1

IdentifierTypeStateIssuer
00941399AMedicaidGA

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
I20040428000180 GA Practitioner - Otolaryngology 2365439742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Mississippi School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear,Nose,and Throat of Northwest GeorgiaGroup PAC ID 3476540857, 4 clinicians

Practice addresses (Care Compare)

107 John Maddox Dr
Rome, GA 30165-1494

107 John Maddox Dr NW
Rome, GA 30165-1419
Phone (706) 235-0116

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51145GAMDOtolaryngology Physician
051145GAMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear,Nose,& Throat of Northwest Georgia Otolaryngology CurrentSince Aug 1, 2002 Accepting new patients

Locations

107 John Maddox Dr NW
Rome, GA 30165
Phone (706) 235-0116

Interoperability endpoints

  • Direct secure messaging: rhoward@entnwga.gwaydirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1427041631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 JOHN MADDOX DRIVE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651494",
            "telephone_number": "706-235-0116",
            "fax_number": "706-235-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 JOHN MADDOX DRIVE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651494",
            "telephone_number": "706-235-0116",
            "fax_number": "706-235-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "RAYMOND",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "GA",
            "license": "051145",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "51145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00941399A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.