Active NPI
Drew Matthew Locandro, M.D.
- Otolaryngology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 31970
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00403851E | Medicaid | GA |
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
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
80 Lacy St NW
Marietta, GA 30060-1112
Phone (770) 427-0368
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31970 | GA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Northwest ENT Associates, PC | Otolaryngology | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Current | 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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Marietta, GA
- NPI 1821176967
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Legal Medicine
- Norcross, GA
- NPI 1689845547
-
- Ambulatory Surgical Clinic/Center
- Woodstock, GA
- NPI 1982978466
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.