ATLANTA ALLERGY & OTOLARYNGOLOGY CENTER, LLC (NPI# 1285789032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285789032 |
| Entity Type | Organization |
| Organization Name | ATLANTA ALLERGY & OTOLARYNGOLOGY CENTER, LLC |
| Other Organization Name | SLEEP AND SINUS CENTERS OF GEORGIA |
| Practice Address |
1990 Riverside Pkwy Lawrenceville GA 30043-5925 |
| Mailing Address |
Po Box 1728 Watkinsville GA 30677-0034 |
| Practice Telephone | 6786891100 |
| Practice Fax Number | 6787228206 |
| Mailing Telephone | 6786891100 |
| Mailing Fax Number | 6787228206 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | DAVID G DILLARD (OWNER) |
| Authorized Official Telephone | 6786891100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 040364 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00681227M | 05 | |
| GA | MEDICARE RAILROAD ID NO | 040015437 | 01 |
| GA | BCBS PROVIDER NUMBER | 196754 | 01 |
| GA | 000681227K | 05 |
| Other Name | Type Code |
|---|---|
| Sleep and Sinus Centers of Georgia | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 Professional Dr Ste 120, Lawrenceville, GA 300467686 | 6786891100 | 6787228206 |
| Street Address |
1990 RIVERSIDE PKWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952851545 | Kareen E Carty-davy | Nurse Practitioner | 1990 Riverside Pkwy, Lawrenceville, GA 30043-5925 | 2016-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750306734 | Chetan Shah | Otolaryngology | 3100 Princeton Pike Bldg 4, Lawrenceville, NJ 08648-2300 | 2006-07-12 |
| 1710984935 | Donald Gene Browning | Otolaryngology | 748 Old Norcross Rd, Suite 100, Lawrenceville, GA 30045-3393 | 2005-07-01 |
| 1871596213 | Ravi Gorav | Otolaryngology | 766 Walther Rd Ste 300, Lawrenceville, GA 30046-8765 | 2005-05-31 |
| 1902185945 | Princeton Eye & Ear LLC | Otolaryngology | 2999 Princeton Pike, Lawrenceville, NJ 08648-3261 | 2011-08-09 |
| 1871820852 | Matthew Carmichael | Otolaryngology | 766 Walther Rd Ste 300, Lawrenceville, GA 30046 | 2009-11-11 |
| 1760637243 | David G Dillard, Md, LLC | Otolaryngology | 771 Old Norcross Rd, Suite 140, Lawrenceville, GA 30045-4317 | 2008-11-25 |
| 1356507115 | Ajaz L Chaudhry | Otolaryngology | 766 Walther Rd, Suite 300, Lawrenceville, GA 30046-8764 | 2008-07-31 |
| 1871601229 | Mukund C Raja | Otolaryngology | 475 Philip Blvd, Suite 201, Lawrenceville, GA 30046-8737 | 2006-08-27 |
| 1548205545 | James Aloysius Boozan | Otolaryngology | 3131 Princeton Pike, Building 5 Suite 100, Lawrenceville, NJ 08648-2201 | 2006-06-17 |
| 1003856311 | Howard Stephen Farmer, Md, P.C. | Otolaryngology | 3100 Princeton Pike, Bldg 4 Suite 2g, Lawrenceville, NJ 08648-2300 | 2006-06-07 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on ATLANTA ALLERGY & OTOLARYNGOLOGY CENTER, LLC.
| 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.