Active NPI
Christopher Michael Gentile, M.D.
- Otolaryngology Physician
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 89145
- Practice address
- 738 Old Norcross Rd Ste 100
Lawrenceville, GA 30046-4466 - Phone
- (770) 495-3820
- Fax
- (770) 495-3825
- NPI assigned
- Apr 25, 2016
- Last updated
- Aug 17, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Otolaryngology Physician | 207Y00000X | 89145 | GA | Primary |
Addresses
Primary practice location
738 Old Norcross Rd Ste 100
Lawrenceville, GA 30046-4466
Mailing address
738 Old Norcross Rd Ste 100
Lawrenceville, GA 30046-4466
Phone (770) 495-3820
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
- Wake Forest University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
766 Walther Rd
Suite 300
Lawrenceville, GA 30046-8765
Phone (770) 237-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Atlanta Ear Nose & Throat, PC | Otolaryngology | Current | Accepting new patients |
| Northlake Anesthesia Professionals, LLC | Current | Accepting new patients | |
| Choa Multispecialty, LLC | Past | Accepting new patients |
Locations
766 Walther Rd
Ste 300
Lawrenceville, GA 30046
Phone (770) 237-3000
3915 Johns Creek Ct
Ste 100
Suwanee, GA 30024
Phone (770) 237-3000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Suwanee, GA
- NPI 1194836254
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1982637419
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1437493467
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory Johns Creek Hospital
- General Acute Care Hospital
- Johns Creek, GA
- NPI 1679632137
-
dba Northside Hospital Forsyth
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1730534967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "738 OLD NORCROSS RD STE 100",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464466",
"telephone_number": "770-495-3820",
"fax_number": "770-495-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "738 OLD NORCROSS RD STE 100",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464466",
"telephone_number": "770-495-3820",
"fax_number": "770-495-3825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTILE",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-25",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "89145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.