ENT Associates of South West Ga

Primary specialty

SpecialistTaxonomy code 174400000X

License

044119 Issued in GA

Legal business name

ENT ASSOCIATES OF SOUTH WEST GA

Practice address

301 W Hansell St
3Rd Floor
Thomasville, GA 31792-6649

Phone

(229) 226-1443

Fax

(229) 226-3035

NPI assigned

Jan 23, 2008

Organization subpart

Yes

Parent organization

ENT ASSOCIATES OF SOUTH WEST GAAs reported in NPPES

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

Authorized official

Name

Dr. Brian J Szwarc, M.D.NPI 1366553349

Title

President/Physician

Phone

(229) 226-1443

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Part of

ENT Associates of SW Ga

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian J Szwarc, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Thomasville, GA
  • NPI 1366553349
  Medicare reassignment Care Compare group Authorized official
• Kayla Willis, AUD

  • Audiologist
  • Dothan, AL
  • NPI 1700496031

  GA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1538346366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W HANSELL ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926649",
            "telephone_number": "229-226-1443",
            "fax_number": "229-226-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HANSELL ST",
            "address_2": "3RD FLOOR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926649",
            "telephone_number": "229-226-1443",
            "fax_number": "229-226-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT ASSOCIATES OF SOUTH WEST GA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENT ASSOCIATES OF SOUTH WEST GA",
        "enumeration_date": "2008-01-23",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "SZWARC",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "229-226-1443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "044119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00755939B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellington Eyecare PLLC
• Christopher Ellis, NP-C
• William W Ellis, MD
• Elizabeth Ann Emanuel, LDO
• Tina Marie English-Watkins
• Nsikan D Essien
• Gabriel Estevez, MD
• Lisa Eubanks
• Henry Alamzan Eugenio, M.D.
• Yvette Evans Fairley, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.