NORTH ATLANTA EAR, NOSE & THROAT SURGICAL CENTER, LLC – NPI #1639696529
Clinic/Center

NORTH ATLANTA EAR, NOSE & THROAT SURGICAL CENTER, LLC is an AHC clinic located in CUMMING, GA. NPPES has assigned the NPI number 1639696529 to NORTH ATLANTA EAR, NOSE & THROAT SURGICAL CENTER, LLC on August 23, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 5 years ago on May 19, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTH ATLANTA EAR, NOSE & THROAT SURGICAL CENTER, LLC below.

NPI Profile for
NORTH ATLANTA EAR, NOSE & THROAT SURGICAL CENTER, LLC

NPI Number
1639696529
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTH ATLANTA EAR, NOSE & THROAT SURGICAL CENTER, LLC
Primary location
4150 DEPUTY BILL CANTRELL MEMORIAL RD
STE 160
CUMMING, GA 30040
Phone: (470) 297-0257 Fax: (770) 292-3046
Mailing address
4150 DEPUTY BILL CANTRELL MEMORIAL RD.
SUITE 160
CUMMING, GA 30040
Phone: (470) 297-0257 Fax: (770) 292-3046
Organization Subpart
No
Authorized Official
SHEREE MOON
PRACTICE ADMINISTRATOR
Phone: (470) 297-1123
Updated
Certification Date
Apr 30, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 GA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.