Active NPI
Elizabeth Ashlie Darr, M.D.
- Otolaryngology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 92833
- Practice address
- 80 Lacy St NW
Marietta, GA 30060-1112 - Phone
- (678) 581-5969
- NPI assigned
- May 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 250913 | MA | |
| Otolaryngology Physician | 207Y00000X | 92833 | GA | Primary |
Addresses
Primary practice location
80 Lacy St NW
Marietta, GA 30060-1112
Mailing address
80 Lacy St NW
Marietta, GA 30060-1112
Phone (678) 581-5969
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- New York Medical College, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2061 Peachtree Rd NE
Suite 300
Atlanta, GA 30309-1442
Phone (770) 427-0368
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92833 | GA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Professional Services LLC | Current | Accepting new patients | |
| Georgia Psychiatry & Sleep | Past | Accepting new patients | |
| Cambridge Family Health North | Past | Accepting new patients | |
| Northwest ENT Surgery Center, LLC | Past | Accepting new patients |
Locations
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Interoperability endpoints
- elizabeth.darr@857.chartlogic.direct-ci.com
Organizations & group practices 5
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Marietta, GA
- NPI 1821176967
-
- Psychologist
- Atlanta, GA
- NPI 1316959869
-
- Psychiatry Physician
- Smyrna, GA
- NPI 1558516997
-
- Ambulatory Surgical Clinic/Center
- Woodstock, GA
- NPI 1982978466
-
- Primary Care Clinic/Center
- Cambridge, MA
- NPI 1174821532
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704585600000",
"number": "1710145883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 LACY ST NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601112",
"telephone_number": "678-581-5969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 LACY ST NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601112",
"telephone_number": "678-581-5969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARR",
"first_name": "ELIZABETH",
"middle_name": "ASHLIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2024-01-07",
"certification_date": "2024-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MA",
"license": "250913",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "92833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2024; 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.
- 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.