Individual provider Active NPI

Ronald A Van Tuyl Jr., MD

  • Otolaryngology Physician
  • Canton, GA
National Provider Identifier
1447260633
Registry record updated May 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
030684 Issued in GA
Practice address
215 Riverstone Dr
Canton, GA 30114-5256
Phone
(770) 345-6600
Fax
(770) 345-6611
NPI assigned
Aug 9, 2006
Last updated
May 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 030684 GA
Allergy Physician 207KA0200X 030684 GA
Otolaryngology Physician 207Y00000X 030684 GA Primary

Addresses

Primary practice location

215 Riverstone Dr
Canton, GA 30114-5256

Mailing address

215 Riverstone Dr
Canton, GA 30114-5256
Phone (770) 345-6600

Other practice location 1

80A Interstate South Dr
Jasper, GA 30143-6226
Phone (770) 345-6600

Other practice location 2

101 Riverstone Vis Ste 212
Blue Ridge, GA 30513-6665
Phone (770) 345-6600

Other practice location 3

97 Deep South Farm Rd Ste 2
Blairsville, GA 30512-2298
Phone (770) 345-6600

Other identifiers 5

IdentifierTypeStateIssuer
000509187QMedicaidGA
000509187AIMedicaidGA
00509187DMedicaidGA
000509187AGMedicaidGA
Q059519MedicaidTN

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
I20070427000238 GA Practitioner - Otolaryngology 6800992405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Oklahoma College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear, Nose, and Throat Specialist- Cherokee Sinus CenterGroup PAC ID 9133100597, 11 clinicians

Practice addresses (Care Compare)

215 Riverstone Dr
Canton, GA 30114-5256
Phone (770) 345-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.7 of 100Reported as group
Quality
93.4
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions26
Removal or shaving of skin growth1-10
Skin biopsy22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030684GAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose Throat & Specialist-Cherokee Sinus Center CurrentSince Feb 1, 2002 Accepting new patients
Ear, Nose, Throat, and Allergy Specialists Otolaryngology Past Accepting new patients
Concordia Anesthesiology, Inc Past Accepting new patients
North Atlanta Scan Associates Inc Past Accepting new patients

Locations

97 Deep South Farm Rd
Ste 2
Blairsville, GA 30512
Phone (706) 835-3960

101 Riverstone Vis
Ste 212
Blue Ridge, GA 30513
Phone (706) 632-8008

125 Oakside Ct
Ste 301
Canton, GA 30114
Phone (770) 345-0070

215 Riverstone Dr
Canton, GA 30114
Phone (770) 281-4487

80A Interstate South Dr
Jasper, GA 30143
Phone (770) 345-6600

Organizations & group practices 4

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 7

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1447260633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 RIVERSTONE DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145256",
            "telephone_number": "770-345-6600",
            "fax_number": "770-345-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 RIVERSTONE DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145256",
            "telephone_number": "770-345-6600",
            "fax_number": "770-345-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80A Interstate South Dr",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "GA",
            "postal_code": "301436226",
            "country_code": "US",
            "telephone_number": "770-345-6600",
            "fax_number": "770-345-6611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Riverstone Vis Ste 212",
            "address_purpose": "LOCATION",
            "city": "Blue Ridge",
            "state": "GA",
            "postal_code": "305136665",
            "country_code": "US",
            "telephone_number": "770-345-6600",
            "fax_number": "770-345-6611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Deep South Farm Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "GA",
            "postal_code": "305122298",
            "country_code": "US",
            "telephone_number": "770-345-6600",
            "fax_number": "770-345-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN TUYL",
        "first_name": "RONALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "030684",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "GA",
            "license": "030684",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "030684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000509187Q",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000509187AI",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00509187D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000509187AG",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q059519",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.