DUBLIN EAR NOSE AND THROAT ASSOCIATES, P.C. (NPI# 1184778425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184778425 |
| Entity Type | Organization |
| Organization Name | DUBLIN EAR NOSE AND THROAT ASSOCIATES, P.C. |
| Practice Address |
102 Fairview Park Dr Dublin GA 31021-2500 |
| Practice Telephone | 4782728382 |
| Practice Fax Number | 4782728464 |
| Mailing Telephone | 4782728382 |
| Mailing Fax Number | 4782728464 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAUL D. KELLAM (PRESIDENT) |
| Authorized Official Telephone | 4782728382 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00608924A | 05 | |
| GA | 00264569A | 05 |
| Street Address |
102 FAIRVIEW PARK DR |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629026117 | Lana K Lott | Physician Assistant | 102 Fairview Park Dr, Dublin, GA 31021-2500 | 2006-05-05 |
| 1003275074 | Melissa French Gay | Audiologist | 102 Fairview Park Dr, Dublin, GA 31021-2500 | 2016-02-18 |
| 1922270917 | Susan L Petrey | Audiologist | 102 Fairview Park Dr, Dublin, GA 31021-2500 | 2008-03-31 |
| 1174743918 | Thomas Corbin Mullis | Otolaryngology | 102 Fairview Park Dr, Dublin Ent Associates, Dublin, GA 31021-2500 | 2007-04-26 |
| 1760554877 | Paul David Kellam Jr. | Otolaryngology | 102 Fairview Park Dr, Dublin, GA 31021-2500 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023564036 | Brooke Holdgreve | Specialist | 6341 Kendall Ridge Blvd, Dublin, OH 43016-9025 | 2016-08-30 |
| 1568815538 | Dawn Wolf Lewis | Specialist | 3832 Gabrielle Dr, Dublin, OH 43016-7282 | 2016-07-14 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1336532829 | Ecosystems Pest Elimination, Inc. | Specialist | 4899 Rays Cir, Dublin, OH 43016-6070 | 2015-03-09 |
| 1336530393 | Amg Associates LLC | Specialist | 6112 Parkcenter Cir, Dublin, OH 43017 | 2015-02-12 |
| 1891190674 | Curepoint LLC | Specialist | 2406 Bellevue Avenue Suite #7, Dublin, GA 31201 | 2014-10-23 |
| 1508123480 | Laurens Internal Medicine | Specialist | 108 Corporate Sq, Suite B, Dublin, GA 31021-4250 | 2012-04-18 |
| 1407091937 | Bonnie M Brotherton | Specialist | 2900 Martin Rd, Dublin, OH 43017-1448 | 2008-12-12 |
| 1306038807 | Dublin Orthopaedics & Rehabilitation, Inc | Specialist | 2400 Bellevue Rd Ste 15, Dublin, GA 31021-2894 | 2007-08-17 |
| 1609916337 | Dublin Ob-gyn & Associates, P.C. | Specialist | 23 Erin Office Park, 2400 Bellevue Road, Dublin, GA 31021-2866 | 2007-02-08 |
| Find all providers in DUBLIN | ||||
Please comment or provide details below to improve the information on DUBLIN EAR NOSE AND THROAT ASSOCIATES, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.