NORTH ATLANTA EAR, NOSE & THROAT SURGICAL CENTER, LLC
NPI 1639696529
Clinic/Center - Ambulatory Surgical in Cumming, GA

NPI Status: Active since August 23, 2017

Contact Information

4150 DEPUTY BILL CANTRELL MEMORIAL RD
STE 160
CUMMING, GA
ZIP 30040
Phone: (470) 297-0257
Fax: (770) 292-3046

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 11D2241749
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-01-2025

About NORTH ATLANTA EAR, NOSE & THROAT SURGICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for North Atlanta Ear, Nose & Throat Surgical Center, Llc, a provider established in Cumming, Georgia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1639696529 assigned on August 2017. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Sheree Moon (Practice Administrator)

NPI
1639696529
Provider Name
NORTH ATLANTA EAR, NOSE & THROAT SURGICAL CENTER, LLC
Entity Type
Organization
Location Address
4150 DEPUTY BILL CANTRELL MEMORIAL RD STE 160 CUMMING, GA 30040
Location Phone
(470) 297-0257
Location Fax
(770) 292-3046
Mailing Address
4150 DEPUTY BILL CANTRELL MEMORIAL RD. SUITE 160 CUMMING, GA 30040
Mailing Phone
(470) 297-0257
Mailing Fax
(770) 292-3046
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-23-2017
Last Update Date
05-19-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License State
GA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO HDHP 8050 10004 - EPO
  • SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
  • SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
  • SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
  • SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
  • SoloCare Standard Exp Bronze EPO 10008 - EPO
  • SoloCare Standard Gold EPO 10006 - EPO
  • SoloCare Standard Platinum EPO 10005 - EPO
  • SoloCare Standard Silver EPO 10007 - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHEREE MOON

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(470) 297-1123

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Removal of nasal air passage under lining tissue

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

This service was performed 34 times for 17 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2241749
Facility Type
Physician Office
Certificate Effective Date
November 02, 2023
Certificate Expiration Date
November 01, 2025
Laboratory Director
JOEL ARON HOFFMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to North Atlanta Ear, Nose & Throat Surgical Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for NORTH ATLANTA EAR, NOSE & THROAT SURGICAL CENTER, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639696529
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691291254
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 2 + 9 + 1 + 2 + 5 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1639696529 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457526121MS. CAROL JUNE CHAMBERS M.A., CCC-A
Individual
Audiologist4150 DEPUTY BILL CANTRELL MEMORIAL RD STE 260
CUMMING, GA 30040
(770) 292-3045
1841495561 CRISTEN CATIGNANI MD
Individual
Plastic Surgery4150 DEPUTY BILL CANTRELL MEMORIAL RD STE 240
CUMMING, GA 30040
(678) 208-6008
1750657961MRS. DEENA MARIA ROBINSON NP-C
Individual
Nurse Practitioner (Family)4150 DEPUTY BILL CANTRELL MEMORIAL RD STE 260
CUMMING, GA 30040
(770) 292-3045
1114400165 ERIN EILEEN YARD APRN FNP-C
Individual
Nurse Practitioner (Family)4150 DEPUTY BILL CANTRELL MEMORIAL RD
CUMMING, GA 30040
(404) 446-0600
1558872903 ALLYSON COLE BAKER NP
Individual
Nurse Practitioner (Family)4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE 300
CUMMING, GA 30040
(770) 886-8111
1578172995 JEREMY DONALD CALQUHOUN RBT
Individual
Behavior Technician4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE T200
CUMMING, GA 30040
(470) 839-3041
1134738552 LAURA ANN WYNN BS
Individual
Behavior Technician4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE T200
CUMMING, GA 30040
(470) 839-3041
1265042618 JENNIFER MARIE TERRY RBT
Individual
Behavior Technician4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE T200
CUMMING, GA 30040
(470) 839-3041
1982047189 ROSA LIPIN
Individual
Otolaryngology4150 DEPUTY BILL CANTRELL MEMORIAL RD STE 260
CUMMING, GA 30040
(770) 292-3045
1619587417 MAKENA NICHOLLE LUNDIN RBT
Individual
Behavior Technician4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE T200
CUMMING, GA 30040
(470) 839-3041
1407460314 SKYLAR MARIE FIELDS RBT
Individual
Behavior Technician4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE T200
CUMMING, GA 30040
(470) 839-3041
1427663087 ARACELI CAMPA-REYES RBT
Individual
Behavior Technician4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE T200
CUMMING, GA 30040
(470) 839-3041
1679188288 MANUELA MOLINA-PALACIO BS
Individual
Behavior Technician4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE T200
CUMMING, GA 30040
(470) 839-3041
1831704378 JALYN CIMONE BENNETT RBT
Individual
Behavior Technician4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE T200
CUMMING, GA 30040
(470) 839-3041
1275130221 EMILY WYNN DOWLING BS, RBT
Individual
Behavior Technician4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE T200
CUMMING, GA 30040
(470) 839-3041
1376140228 RAVIN TYRA CATO RBT
Individual
Behavior Technician4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE T200
CUMMING, GA 30040
(470) 839-3041
1891382297 SAVANNAH CRAWFORD RBT
Individual
Behavior Technician4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE T200
CUMMING, GA 30040
(470) 839-3041
1063705135DR. TYLER INCHUL AN D.O.
Individual
Internal Medicine (Gastroenterology)4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE 290
CUMMING, GA 30040
(404) 446-0600
1932791068 NICOLE COSTELLO RBT
Individual
Behavior Technician4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE T200
CUMMING, GA 30040
(470) 839-3041
1235757063 WEI WANG OTR
Individual
Occupational Therapist4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE T200
CUMMING, GA 30040
(470) 839-3041

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639696529, enumerated in the NPI registry as an "organization" on August 23, 2017

The provider is located at 4150 Deputy Bill Cantrell Memorial Rd Ste 160 Cumming, Ga 30040 and the phone number is (470) 297-0257

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Removal of nasal air passage under lining tissue.

The provider's CLIA number is 11D2241749 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 23, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.