Northeast Georgia Otolaryngology

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTHEAST GEORGIA OTOLARYNGOLOGY

Practice address

2406 Lighthouse Manor Dr
Gainesville, GA 30501-7401

Phone

(770) 536-4352

Fax

(770) 532-8165

NPI assigned

Dec 5, 2006

Last updated

Nov 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roger William Farmer, MDNPI 1316948078

Title

Partner

Phone

(770) 536-4352

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert M Baskin, MD

  • Otolaryngology Physician
  • Gainesville, GA
  • NPI 1194011437
  Medicare reassignment Care Compare group NPD
• Amy Reeder Britt, M.ED., CCC-A

  • Audiologist
  • Gainesville, GA
  • NPI 1093054769
  Medicare reassignment Care Compare group NPD
• Allen P Butler, M.D.

  • Otolaryngology Physician
  • Gainesville, GA
  • NPI 1326045048
  Medicare reassignment Care Compare group NPD
• Michael Harris Callahan, M.D.

  • Otolaryngic Allergy Physician
  • Gainesville, GA
  • NPI 1063564243
  Medicare reassignment Care Compare group NPD
• Paul H Garlich, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Gainesville, GA
  • NPI 1336212521
  Medicare reassignment Care Compare group NPD
• Natalie Harman

  • Family Nurse Practitioner
  • Gainesville, GA
  • NPI 1255170569
  Medicare reassignment Care Compare group NPD
• Michelle M Maloney, AUD

  • Audiologist
  • Suwanee, GA
  • NPI 1699883330
  Medicare reassignment Care Compare group NPD
• Mariann C McElwain, MD

  • Otolaryngology Physician
  • Gainesville, GA
  • NPI 1134117757
  Medicare reassignment Care Compare group NPD
• Laura Stover McGrew, FNP-C

  • Family Nurse Practitioner
  • Braselton, GA
  • NPI 1477945673
  Medicare reassignment Care Compare group NPD
• Scott M Stewart, MD

  • Otolaryngology Physician
  • Gainesville, GA
  • NPI 1811998446
  Medicare reassignment Care Compare group NPD
• Brennan P Wood, MD

  • Otolaryngology Physician
  • Gainesville, GA
  • NPI 1083615611
  Medicare reassignment Care Compare group NPD
• Arlene Adrienne Hicklin, AUD

  • Audiologist
  • Greenwood, SC
  • NPI 1982031340

  GA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1437217734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 LIGHTHOUSE MANOR DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305017401",
            "telephone_number": "770-536-4352",
            "fax_number": "770-532-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 LIGHTHOUSE MANOR DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305017401",
            "telephone_number": "770-536-4352",
            "fax_number": "770-532-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GEORGIA OTOLARYNGOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "770-536-4352",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Georgia Medical Center, Inc.
• Northeast Georgia Medical Center, Inc. (Ers/Lifeline)
• Northeast Georgia Medical Center., Inc. (Hospice of Northeast Georgia Medical Center)
• Northeast Georgia Ophthalmology, LLC
• Northeast Georgia Orthopaedics & Sports Medicine, LLC
• Northeast Georgia Physicians Group
• Northeast Georgia Physicians Group Inc
• Northeast Georgia Physicians Group Urgent Care LLC
• Northeast Georgia Physicians Group-Urgent Care, LLC
• Northeast Georgia Physicians Group, Inc. (Medical Transport)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.