NPIMap

Organization Active NPI

North Atlanta Ear Nose & Throat PC

  • Otolaryngology Physician
  • Cumming, GA
National Provider Identifier
1871970210
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
37833 Issued in GA
Legal business name
NORTH ATLANTA EAR NOSE & THROAT PC
Practice address
4150 Deputy Bill Cantrell Memorial Rd
Suite 260
Cumming, GA 30040
Phone
(770) 292-3045
Fax
(770) 292-3046
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Joel Hoffman, M.D.NPI 1639178486
Title
President
Phone
(770) 292-3045

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 37833 GA Primary

Addresses

Primary practice location

4150 Deputy Bill Cantrell Memorial Rd
Suite 260
Cumming, GA 30040

Mailing address

4150 Deputy Bill Cantrell Memorial Rd
Suite 260
Cumming, GA 30040
Phone (770) 292-3045

Other practice location 1

4150 Deputy Bill Cantrell Memorial Rd.
Suite 260
Cumming, GA 30040-3004
Phone (470) 297-0289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150729008639 GA Part B Supplier - Clinic/Group Practice 9830403229 Receives reassigned benefits from 18 practitioners
Practice locations: Alpharetta, GA; Cumming, GA; Dawsonville, GA

National Provider Directory

National Provider Directory

Locations

3180 North Point Pkwy
Ste 512
Alpharetta, GA 30005
Phone (678) 679-5070

1400 Northside Forsyth Dr
Ste 240
Cumming, GA 30041
Phone (770) 292-3045

73 Prestige Ln
Ste 202
Dawsonville, GA 30534
Phone (770) 292-3045

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1871970210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL RD",
            "address_2": "SUITE 260",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "770-292-3045",
            "fax_number": "770-292-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL RD",
            "address_2": "SUITE 260",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "770-292-3045",
            "fax_number": "770-292-3046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Deputy Bill Cantrell Memorial Rd.",
            "address_2": "Suite 260",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300403004",
            "country_code": "US",
            "telephone_number": "470-297-0289",
            "fax_number": "770-292-3046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH ATLANTA EAR NOSE & THROAT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-292-3045",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "37833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.