Individual provider Active NPI

Elizabeth Ashlie Darr, M.D.

  • Otolaryngology Physician
  • Marietta, GA
National Provider Identifier
1710145883
Registry record updated Jan 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
92833 Issued in GA
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

Updated by the provider on Jan 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230109001517 GA Practitioner - Otolaryngology 2264689769 Reassigns benefits to 2 organizations

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
Northwest ENT Associates PCGroup PAC ID 2264498807, 15 clinicians

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 Hospital, Marietta, GA, CCN 110035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92833GAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Professional Services LLC CurrentSince Oct 22, 2023 Accepting new patients
Georgia Psychiatry & Sleep PastSince May 19, 2025 Accepting new patients
Cambridge Family Health North PastSince Sep 1, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.