ENT of Georgia, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ENT OF GEORGIA, LLC

Practice address

5673 Peachtree Dunwoody Rd
Suite 150
Atlanta, GA 30342-1731

Phone

(404) 297-1780

Fax

(404) 252-7255

NPI assigned

Jun 4, 2006

Last updated

Dec 26, 2013By 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

Elisabeth Brooks

Title

Administrator

Phone

(404) 297-6105

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Advanced Hearing, LLC

  • Audiologist-Hearing Aid Fitter
  • Atlanta, GA
  • NPI 1366820276
  NPPES parent name

Practitioners 110

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.

• Sanjay Manohar Athavale, M.D.

  • Otolaryngology Physician
  • Cartersville, GA
  • NPI 1942404421
  Medicare reassignment Care Compare group NPD
• Jeffrey E Goldberg, MD

  • Otolaryngology Physician
  • Suwanee, GA
  • NPI 1336229178
  Medicare reassignment Care Compare group NPD
• E Cameron Hewitt, M.D.

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1700861739
  Medicare reassignment Care Compare group NPD
• Robert Bernard Hoddeson, M.D.

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1396742433
  Medicare reassignment Care Compare group NPD
• Jenny Christine Kim, M.D.

  • Otolaryngology Physician
  • Decatur, GA
  • NPI 1275531907
  Medicare reassignment Care Compare group NPD
• Michael John Koriwchak, M.D.

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1720085756
  Medicare reassignment Care Compare group NPD
• Melissa Soo-Yung Oh, MD

  • Otolaryngology Physician
  • Decatur, GA
  • NPI 1528555430
  Medicare reassignment Care Compare group NPD
• Elizabeth Ann Shaw, M.D.

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1740264936
  Medicare reassignment Care Compare group NPD
• Lawrence Steven Weiss, M.D.

  • Otolaryngology Physician
  • Marietta, GA
  • NPI 1912996422
  Medicare reassignment Care Compare group NPD
• Malaika Manju Witter Hewitt, M.D.

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1174561138
  Medicare reassignment Care Compare group NPD
• Mark J. Yanta, M.D.

  • Otolaryngology Physician
  • Alpharetta, GA
  • NPI 1245239094
  Medicare reassignment Care Compare group NPD
• Jose Pablo Stolovitzky, M.D.

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1558368415
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1922046424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421731",
            "telephone_number": "404-297-1780",
            "fax_number": "404-252-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421731",
            "telephone_number": "404-297-1780",
            "fax_number": "404-252-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-297-6105"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Enriquez, FNP
• Lucia Enriquez, CNM
• Celina Yvonne Ensenat, RN
• ENT and Facial Plastic Surgery LLC
• ENT of Atlanta LLC
• ENT Surgery Center of Atlanta,LLC
• Entera Health Alliance - Ga, PC
• Entire Family Medical Center
• Entouch Home Care Services of Atlanta, LLC
• Chidiebele Enunwa, MD

• 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 Dec 26, 2013; 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.