Danko Cerenko, PHD, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

033244 Issued in GA

Practice address

1240 Highway 54 W BLDG 700 Ste 710
Fayetteville, GA 30214-4565

Phone

(770) 991-2800

Fax

(770) 997-3827

NPI assigned

Jul 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 7

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.518
• Direct secure messaging: danko.cerenko.1@27014.direct.athenahealth.com

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.

• ENT of Georgia, LLC

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1922046424
  Medicare reassignment NPD
• South Atlanta Ear Nose & Throat, PC

  • Specialist
  • Fayetteville, GA
  • NPI 1548697196
  Medicare reassignment NPD
• Piedmont Medical Care Corporation

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1912956046
  NPD (past)
• Carolina Otolaryngology Institute

  • Otolaryngology Physician
  • Aiken, SC
  • NPI 1811903396
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1568469799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 HIGHWAY 54 W BLDG 700 STE 710",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144565",
            "telephone_number": "770-991-2800",
            "fax_number": "770-997-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 HIGHWAY 54 W BLDG 700 STE 710",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144565",
            "telephone_number": "770-991-2800",
            "fax_number": "770-997-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERENKO",
        "first_name": "DANKO",
        "name_prefix": "Dr.",
        "credential": "PHD, M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "GA",
            "license": "033244",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "GA",
            "license": "033244",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "033244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000578597C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000578597E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2747255",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5896670",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000578597D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "40016984",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GEORGIA",
            "identifier": "52048662",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caudelle & Wilson Eye Care LLC
• Robert Keith Caudelle, OD
• Allison Sens Cavano, CCC-SLP
• CB & Nikky Inc
• Celora Signature Care LLC
• Dorothy Cerezola, LCSW
• Chambers Personal Home Health Care Services LLC.
• Jodie Chambers
• Michele Chance, AU.D.
• Michelle Chance, RBT

• Otolaryngology Physician in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.