Active NPI
Earnest Chester Riley, M.D.
- Specialist
- Smyrna, GA
National Provider Identifier
1881631869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 048077
- Practice address
- 3969 S Cobb Dr SE
Suite 203
Smyrna, GA 30080-6358 - Phone
- (770) 438-6318
- Fax
- (678) 347-2104
- NPI assigned
- May 31, 2006
- Last updated
- Nov 8, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 048077 | GA | Primary |
Addresses
Primary practice location
3969 S Cobb Dr SE
Suite 203
Smyrna, GA 30080-6358
Mailing address
2365 Old Milton Pkwy
Suite 300
Alpharetta, GA 30004-2103
Phone (770) 740-1860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048077 | GA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marietta Diagnostic Center, LLC | Past | Accepting new patients | |
| Northside Surgical Professional Services LLC | Past | Accepting new patients | |
| Northside Psychological Services, Inc. | Past | Accepting new patients | |
| Ear, Nose & Throat Plastic Surgery Center | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Douglasville, GA
- NPI 1821163577
-
dba Marietta Imaging Center Marietta Imaging at North Cobb
- Diagnostic Radiology Physician
- Marietta, GA
- NPI 1154371805
-
- Mental Health Counselor
- Alpharetta, GA
- NPI 1568527505
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1881631869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2365 OLD MILTON PKWY",
"address_2": "SUITE 300",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300042103",
"telephone_number": "770-740-1860",
"fax_number": "678-347-2104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3969 S COBB DR SE",
"address_2": "SUITE 203",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806358",
"telephone_number": "770-438-6318",
"fax_number": "678-347-2104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "EARNEST",
"middle_name": "CHESTER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "048077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
- Kimberlynn R Richards, M.D.
- Tommie Mack Richardson, MD
- Ridgeview Institute,Inc
- Jennifer Jarvela Ridgley, PA, ASCP
- Megan Reich Rihan, DMD
- Alina Rim
- Rise and Restore Healthcare, LLC
- River Region Psychiatry Associates LLC (Ally Psychiatry)
- Rivers Premiere Care, Inc (ComForcare Senior Services)
- Kathy Lashawn Roberts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.