Georgia Surgical Professional Services, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

GEORGIA SURGICAL PROFESSIONAL SERVICES, LLC

Practice address

4380 Georgetown SQ
Suite 1002
Atlanta, GA 30338-6254

Phone

(855) 709-4535

Fax

(770) 234-9979

NPI assigned

Oct 16, 2013

Last updated

Jun 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy E Fouts

Title

Chief Compliance Officer

Phone

(404) 851-6968

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Northside Hospital, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
  • NPI 1215098405

  Member Of

  NPD member

Locations

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Jay Abramson, MD

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1003813379
  Medicare reassignment Care Compare group NPD
• Sanjay Manohar Athavale, M.D.

  • Otolaryngology Physician
  • Cartersville, GA
  • NPI 1942404421
  Medicare reassignment Care Compare group NPD
• Alicia Bernstein

  • Otolaryngology Physician
  • Alpharetta, GA
  • NPI 1235516741
  Medicare reassignment Care Compare group NPD
• Donald Gene Browning, M.D.

  • Otolaryngology Physician
  • Lawrenceville, GA
  • NPI 1710984935
  Medicare reassignment Care Compare group NPD
• Jodi Seligman Bykat, AUD

  • Audiologist
  • Atlanta, GA
  • NPI 1972980407
  Medicare reassignment Care Compare group NPD
• Jennifer Alice Douberly, AU.D.

  • Audiologist
  • Athens, GA
  • NPI 1942399027
  Medicare reassignment Care Compare group NPD
• Amy S Dowsett

  • Audiologist
  • Snellville, GA
  • NPI 1255502225
  Medicare reassignment Care Compare group NPD
• Sarah F. Dryanski, AU.D

  • Audiologist
  • Canton, GA
  • NPI 1528223385
  Medicare reassignment Care Compare group NPD
• Susan Abigail Duncan, AU.D.

  • Audiologist
  • Atlanta, GA
  • NPI 1770742553
  Medicare reassignment Care Compare group NPD
• Carolyn Dunn, AUD

  • Audiologist
  • Suwanee, GA
  • NPI 1043523459
  Medicare reassignment Care Compare group NPD
• Julia Fahrney, AUD

  • Audiologist
  • Decatur, GA
  • NPI 1467818872
  Medicare reassignment Care Compare group NPD
• Matthew T Gill, M.D.

  • Otolaryngology Physician
  • Suwanee, GA
  • NPI 1376754200
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1801224506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FY RD NE",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421606",
            "telephone_number": "404-851-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 GEORGETOWN SQ",
            "address_2": "SUITE 1002",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386254",
            "telephone_number": "855-709-4535",
            "fax_number": "770-234-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA SURGICAL PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "FOUTS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "404-851-6968"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Georgia State Diagnostics LLC
• Georgia State Medical Supply LLC
• Georgia State University Physical
• Georgia Surgical Arts Dental Implants & Oral Surgery LLC (Imperial Dental Implants & Oral Surgery)
• Georgia Surgical Center on Peachtree, LLC
• Georgia Tech Sports Medicine and Rehab
• Georgia Therapeutic Interventions
• Georgia Therapy
• Georgia Therapy Associates
• Georgia Therapy Clinic, LLC

• Otolaryngology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.