Individual provider Active NPI

James Andrew Sipp, MD

  • Pediatric Otolaryngology Physician
  • Atlanta, GA
National Provider Identifier
1497886428
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
053880 Issued in GA
Practice address
5461 Meridian Marks Rd Ste 130
Atlanta, GA 30342
Phone
(404) 255-2033
Fax
(404) 252-1901
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X 228289 MA
Pediatric Otolaryngology Physician 207YP0228X 053880 GA Primary

Addresses

Primary practice location

5461 Meridian Marks Rd Ste 130
Atlanta, GA 30342

Mailing address

5461 Meridian Marks Rd Ste 130
Atlanta, GA 30342-3009
Phone (404) 255-2033

Other identifiers 1

IdentifierTypeStateIssuer
519401643MedicaidGA

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
I20200212000371 GA Practitioner - Otolaryngology 8123454030 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228289MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Surgical Professional Services, LLC CurrentSince Jan 1, 2020 Accepting new patients
Pediatric Ear, Nose, & Throat of Atlanta, PC Pediatric Otolaryngology Past Accepting new patients

Locations

3280 Howell Mill Rd NW
Ste 309
Atlanta, GA 30327
Phone (404) 352-8156

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

2550 Windy Hill Rd SE
Ste 307
Marietta, GA 30067
Phone (770) 953-1414

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

4245 Johns Creek Pkwy
Ste D
Suwanee, GA 30024
Phone (770) 495-3820

Interoperability endpoints

  • Direct secure messaging: jasipp@entofga.emadirect.md
  • Direct secure messaging: jsipp7118@choa.gadirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1497886428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 MERIDIAN MARKS RD STE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423009",
            "telephone_number": "404-255-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 MERIDIAN MARKS RD STE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-255-2033",
            "fax_number": "404-252-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPP",
        "first_name": "JAMES",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "MA",
            "license": "228289",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "GA",
            "license": "053880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519401643",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.