Ear Nose and Throat Facial Plastics PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

039935 Issued in GA

Legal business name

EAR NOSE AND THROAT FACIAL PLASTICS PC

Practice address

550 Peachtree St NE
Suite 1075
Atlanta, GA 30308-2247

Phone

(404) 350-9200

Fax

(404) 529-9092

NPI assigned

Nov 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Booker Terry Seymour III, MDNPI 1821164500

Title

President

Phone

(404) 350-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Booker Terry Seymour III, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Atlanta, GA
  • NPI 1821164500
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1730334582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1075",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082247",
            "telephone_number": "404-350-9200",
            "fax_number": "404-529-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1075",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082247",
            "telephone_number": "404-350-9200",
            "fax_number": "404-529-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE AND THROAT FACIAL PLASTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "SEYMOUR",
        "authorized_official_first_name": "BOOKER",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-350-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "039935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000663891A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peyton Ann Ealy
• Jesica M Eames, LCSW/JD
• Eamon Dutta, MD PC
• Ear Consultants of Georgia
• Ear Nose and Throat Facial Plastics and Sleep Disorder Ascllc
• Elizabeth Earhart, MS,LPC; MA,CCC-SLP
• Whitney Earhart
• Jordyn Earl
• Victoria Claire Earl, MD
• Andrew F Earle-Richardson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.