Organization Active NPI

Atlanta Institute for ENT PC

  • Otolaryngology Physician
  • Atlanta, GA
National Provider Identifier
1902899628
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ATLANTA INSTITUTE FOR ENT PC
Practice address
5670 Peachtree Dunwoody Rd NE
Suite 1280
Atlanta, GA 30342-4792
Phone
(404) 257-1589
Fax
(404) 303-1950
NPI assigned
Aug 29, 2005
Last updated
Feb 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Dr. Pradeep Kumar Sinha, MDNPI 1144203233
Title
President
Phone
(404) 257-1589

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary
Pediatric Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YP0228X
Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0123X

Addresses

Primary practice location

5670 Peachtree Dunwoody Rd NE
Suite 1280
Atlanta, GA 30342-4792

Mailing address

5670 Peachtree Dunwoody Rd NE
Suite 1280
Atlanta, GA 30342-4792
Phone (404) 257-1589

Other practice location 1

3333 Old Milton Pkwy Ste 520
Alpharetta, GA 30005-4437
Phone (770) 777-1100

Other identifiers 2

IdentifierTypeStateIssuer
003170149AMedicaidGA
GRP3757OtherGAMEDICARE

Other names 1

  • Pradeep K Sinha MD PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050627001015 GA Part B Supplier - Clinic/Group Practice 8224073572 Receives reassigned benefits from 8 practitioners
Practice locations: Alpharetta, GA; Atlanta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1020845Northside Atlanta Institute for ENT5670 Peachtree Dunwoody Rd, Suite 1280, Atlanta, GA 30342Certificate of waiverJan 5, 2028
11D2066735Northside Atlanta Institute for ENT (Alpharetta)3333 Old Milton Parkway, Suite 520, Alpharetta, GA 30005Certificate of waiverJul 23, 2026

National Provider Directory

National Provider Directory

Locations

3500 Duluth Park Ln
Ste 600
Duluth, GA 30096
Phone (404) 257-1589

475 Philip Blvd
Ste 201
Lawrenceville, GA 30046
Phone (770) 962-0220

980 Johnson Fy Rd NE
Ste 110
Sandy Springs, GA 30342
Phone (404) 256-5428

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1902899628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 1280",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424792",
            "telephone_number": "404-257-1589",
            "fax_number": "404-303-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 1280",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424792",
            "telephone_number": "404-257-1589",
            "fax_number": "404-303-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Old Milton Pkwy Ste 520",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300054437",
            "country_code": "US",
            "telephone_number": "770-777-1100",
            "fax_number": "770-751-9089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTA INSTITUTE FOR ENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "SINHA",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-257-1589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003170149A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "GRP3757",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pradeep K Sinha MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Pradeep K Sinha MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.