Active NPI
Northeast Georgia ENT-Head & Neck Surgery PC
- Otolaryngology Physician
- Athens, GA
National Provider Identifier
1861586901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- NORTHEAST GEORGIA ENT-HEAD & NECK SURGERY PC
- Practice address
- 700 Sunset Dr
Suite 103
Athens, GA 30606 - Phone
- (706) 546-0144
- Fax
- (706) 543-9203
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John R Simpson, MD
- Title
- Owner/President
- Phone
- (706) 546-0144
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
700 Sunset Dr
Suite 103
Athens, GA 30606
Mailing address
700 Sunset Dr
Suite 103
Athens, GA 30606
Phone (706) 546-0144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
700 Sunset Dr
Ste 103
Athens, GA 30606
Phone (706) 353-3600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Athens, GA
- NPI 1427050467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722470400000",
"number": "1861586901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SUNSET DR",
"address_2": "SUITE 103",
"city": "ATHENS",
"state": "GA",
"postal_code": "30606",
"telephone_number": "706-546-0144",
"fax_number": "706-543-9203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SUNSET DR",
"address_2": "SUITE 103",
"city": "ATHENS",
"state": "GA",
"postal_code": "30606",
"telephone_number": "706-546-0144",
"fax_number": "706-543-9203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST GEORGIA ENT-HEAD & NECK SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A",
"authorized_official_last_name": "SIMPSON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "706-546-0144",
"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": []
}
Other providers in Athens, GA
- Byron Kit Norris, MD
- Ellie Lacour Norris, PA
- North Georgia Neprology Consultants LLC
- Northeast Ga Surgical Healthcare
- Northeast Georgia Anesthesiology LLC
- Northeast Georgia Gastroenterology Associates, PC
- Northeast Georgia House Calls LLC
- Northeast Georgia Nephrology & Hypertension Clinic, PC
- Northeast Georgia Procedure Center LLC
- Northeast Georgia Regional Commission, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.