Active NPI
Natalie Vercillo Sciarrino, M.D.
- Otolaryngology Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 98417
- Practice address
- 4150 Deputy Bill Cantrell Memorial Rd
Suite 260
Cumming, GA 30040 - Phone
- (770) 292-3045
- Fax
- (770) 292-3046
- NPI assigned
- Apr 8, 2011
- Last updated
- Sep 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Otolaryngology Physician | 207Y00000X | 39286 | SC | |
| Otolaryngology Physician | 207Y00000X | 98417 | 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 names 1
- Natalie Cannon Vercillo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4150 Deputy Bill Cantrell Memorial
Suite 260
Cumming, GA 30040
Phone (770) 292-3045
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39286 | SC | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Ear Nose & Throat PC | Otolaryngology | Current | Accepting new patients |
| Northside Surgical Professional Services LLC | Past | Accepting new patients | |
| SC Fyzical, LLC | Past | Accepting new patients |
Locations
3180 North Point Pkwy
Ste 512
Alpharetta, GA 30005
Phone (678) 679-5070
Interoperability endpoints
- nsciarrino380094@direct.musc.edu
Organizations & group practices 3
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 Physician
- Cumming, GA
- NPI 1871970210
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
-
- Physical Therapy Clinic/Center
- Columbia, SC
- NPI 1861964710
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Forsyth
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1932499159",
"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": [],
"basic": {
"last_name": "SCIARRINO",
"first_name": "NATALIE",
"middle_name": "VERCILLO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-08",
"last_updated": "2024-09-03",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "SC",
"license": "39286",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "98417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATALIE",
"last_name": "VERCILLO",
"middle_name": "CANNON",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.