ENT Surgery Center of Augusta, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

036286 Issued in GA

Legal business name

ENT SURGERY CENTER OF AUGUSTA, LLC

Practice address

340 N Belair Rd
Suite B
Evans, GA 30809-3000

Phone

(706) 364-4040

Fax

(706) 364-8402

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Elliott Barfield III, M.D.

Title

Medical Director

Phone

(706) 364-4040

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

ENT Surgery Center of Augusta LLCCCN 11C0001253

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

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

• William A Wells, MD

  • Facial Plastic Surgery Physician
  • Lexington, SC
  • NPI 1194799965
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1548296296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N BELAIR RD",
            "address_2": "SUITE B",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093000",
            "telephone_number": "706-364-4040",
            "fax_number": "706-364-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N BELAIR RD",
            "address_2": "SUITE B",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093000",
            "telephone_number": "706-364-4040",
            "fax_number": "706-364-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT SURGERY CENTER OF AUGUSTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "BARFIELD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "706-364-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "036286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF GA PROVIDER",
            "identifier": "51003904002",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Elmo, FNP-C
• Golnaz Emami Naeini, DMD
• Emerald Dental, LLC
• Empowerme Rehabilitation, LLC
• Linda Maria Engelking-Cooper, LCSW
• Erw Cin LLC
• Ryckia Estes, RBT
• Eugene H Williamson D.D.S.,M.S.,P.C.
• Evans Dental Group, LLC
• Evans Dental Group, PC

• All providers in Evans, GA
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.