Individual provider Active NPI

Drew Matthew Locandro, M.D.

  • Otolaryngology Physician
  • Marietta, GA
National Provider Identifier
1790786911
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
31970 Issued in GA
Practice address
80 Lacy St NW
Northwest ENT and Allergy Center
Marietta, GA 30060
Phone
(770) 427-0368
Fax
(678) 581-5969
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 31970 GA Primary

Addresses

Primary practice location

80 Lacy St NW
Northwest ENT and Allergy Center
Marietta, GA 30060

Mailing address

80 Lacy St NW
Northwest ENT and Allergy Center
Marietta, GA 30060
Phone (770) 427-0368

Other identifiers 1

IdentifierTypeStateIssuer
00403851EMedicaidGA

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
I20080527000607 GA Practitioner - Otolaryngology 8628034162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1980
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)

80 Lacy St NW
Marietta, GA 30060-1112
Phone (770) 427-0368

Hospital & facility affiliations

  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31970GAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc CurrentSince Aug 1, 2009 Accepting new patients
Northwest ENT Associates, PC Otolaryngology CurrentSince Jun 23, 2001 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Aug 1, 2009 Accepting new patients
Floyd Wellness Care, Corp Past Accepting new patients
Northwest ENT Surgery Center, LLC Past Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

2061 Peachtree Rd NE
Ste 300
Atlanta, GA 30309
Phone (404) 350-7955

13 Reinhardt College Pkwy
Canton, GA 30114

320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535

80 Lacy St NW
Marietta, GA 30060
Phone (770) 429-0507

1121 Johnson Ferry Rd
Ste 300
Marietta, GA 30068
Phone (770) 973-5252

1106 Hospital Dr
Stockbridge, GA 30281
Phone (678) 289-2003

960 Woodstock Pkwy
Ste 101
Woodstock, GA 30188
Phone (678) 483-8833

960 Woodstock Pkwy
Ste 100
Woodstock, GA 30188
Phone (678) 483-8833

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 2

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1790786911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LACY ST NW",
            "address_2": "NORTHWEST ENT AND ALLERGY CENTER",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-427-0368",
            "fax_number": "678-581-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LACY ST NW",
            "address_2": "NORTHWEST ENT AND ALLERGY CENTER",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-427-0368",
            "fax_number": "678-581-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCANDRO",
        "first_name": "DREW",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "31970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00403851E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.