Southern ENT Specialists, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SOUTHERN ENT SPECIALISTS, LLC

Practice address

460 Northside Cherokee Blvd Ste 410
Canton, GA 30115-8016

Phone

(678) 786-7430

NPI assigned

Feb 12, 2018

Organization subpart

No

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

Authorized official

Name

James French Jr., MDNPI 1790814051

Title

Owner

Phone

(678) 786-7430

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AIICBD

Practitioners 4

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

• James Courtney French Jr., M.D.

  • Otolaryngology Physician
  • Canton, GA
  • NPI 1790814051
  Medicare reassignment Care Compare group NPD Authorized official
• Eric Weinman, MD

  • Otolaryngology Physician
  • Canton, GA
  • NPI 1336180553
  Medicare reassignment Care Compare group NPD
• Hannah Theresa Jones, AUD

  • Audiologist
  • Woodstock, GA
  • NPI 1396304648
  Medicare reassignment NPD
• Kymberly Elrod Rizoti, NP

  • Nurse Practitioner
  • Canton, GA
  • NPI 1740066786
  Medicare reassignment NPD

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1780183103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 NORTHSIDE CHEROKEE BLVD STE 410",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 NORTHSIDE CHEROKEE BLVD STE 410",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158016",
            "telephone_number": "678-786-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ENT SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-786-7430",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Anthony Smith, DMD
• Stephanie Brianna Smith, MS, LPC, CCTP, NCC
• SNH SE Tenant TRS, Inc
• Snooze, LLC
• Catherine Aracely Sosa, MA
• Breona D Spear
• Bonny Spears, PTA
• Stephanie Hemenway Spelsberg, LCSW
• Nanette Locole Spencer, FNP
• Steven Mark Spitz, MD

• Otolaryngology Physician in Canton, GA
• Providers in Canton, 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 12, 2018; 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.