Active NPI
Scott Marc Karlin, MD
- Otolaryngology Physician
- Suwanee, GA
National Provider Identifier
1457349367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 031775
- Practice address
- 4385 Johns Creek Pkwy
Suite 250
Suwanee, GA 30024-6048 - Phone
- (770) 623-1608
- Fax
- (678) 992-2540
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 031775 | GA | Primary |
| Pediatric Otolaryngology Physician | 207YP0228X | 031775 | GA | |
| Otolaryngic Allergy Physician | 207YX0602X | 031775 | GA |
Addresses
Primary practice location
4385 Johns Creek Pkwy
Suite 250
Suwanee, GA 30024-6048
Mailing address
4385 Johns Creek Pkwy
Suite 250
Suwanee, GA 30024-6048
Phone (770) 939-9614
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000401343H | Medicaid | GA | |
| 000401343K | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northlake Anesthesia Professionals, LLC | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1982637419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261094400000",
"number": "1457349367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4385 JOHNS CREEK PKWY",
"address_2": "SUITE 250",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246048",
"telephone_number": "770-939-9614",
"fax_number": "678-992-2540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4385 JOHNS CREEK PKWY",
"address_2": "SUITE 250",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246048",
"telephone_number": "770-623-1608",
"fax_number": "678-992-2540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARLIN",
"first_name": "SCOTT",
"middle_name": "MARC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2009-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "031775",
"primary": true
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "GA",
"license": "031775",
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "GA",
"license": "031775",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000401343H",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000401343K",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.