Individual provider Active NPI

Emma Graf West

  • Otolaryngology Physician
  • Woodstock, GA
National Provider Identifier
1447716865
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
100007 Issued in GA
Practice address
900 Towne Lake Pkwy Ste 302
Woodstock, GA 30189-1604
Phone
(770) 971-1533
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 100007 GA Primary

Addresses

Primary practice location

900 Towne Lake Pkwy Ste 302
Woodstock, GA 30189-1604

Mailing address

900 Towne Lake Pkwy Ste 302
Woodstock, GA 30189-1604
Phone (770) 971-1533

Other practice location 1

4800 Olde Towne Pkwy Ste 360
Marietta, GA 30068-4396
Phone (770) 971-1533

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
I20240730003256 GA Practitioner - Otolaryngology 5395071781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Mercer University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Surgical Professional Services LLCGroup PAC ID 3375774011, 38 clinicians

Practice addresses (Care Compare)

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

748 Old Norcross Rd
Suite 100
Lawrenceville, GA 30046-3394
Phone (770) 339-1500

Hospital & facility affiliations

  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100007GAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Surgical Professional Services, LLC Otolaryngology CurrentSince Sep 1, 2024 Accepting new patients
ENT of Georgia, LLC Otolaryngology CurrentSince Aug 28, 2024 Accepting new patients

Locations

748 Old Norcross Rd
Ste 100
Lawrenceville, GA 30046
Phone (404) 297-4230

4800 Olde Towne Pkwy
Ste 360
Marietta, GA 30068
Phone (770) 971-1533

5673 Peachtree Dunwoody Rd
Ste 150
Sandy Springs, GA 30342
Phone (404) 297-4230

900 Towne Lake Pkwy
Ste 302
Woodstock, GA 30189
Phone (404) 303-3157

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 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": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1447716865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 TOWNE LAKE PKWY STE 302",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301891604",
            "telephone_number": "770-971-1533",
            "fax_number": "678-710-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TOWNE LAKE PKWY STE 302",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301891604",
            "telephone_number": "770-971-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Olde Towne Pkwy Ste 360",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300684396",
            "country_code": "US",
            "telephone_number": "770-971-1533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "EMMA",
        "middle_name": "GRAF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "100007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.