GEORGIA NORTHSIDE EAR, NOSE AND THROAT, LLC (NPI# 1447698964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447698964 |
| Entity Type | Organization |
| Organization Name | GEORGIA NORTHSIDE EAR, NOSE AND THROAT, LLC |
| Practice Address |
1360 Upper Hembree Rd Suite 201 Roswell GA 30076-1171 |
| Mailing Address |
Po Box 742566 Atlanta GA 30374-2105 |
| Practice Telephone | 7704753361 |
| Practice Fax Number | 7706644431 |
| Mailing Telephone | 7704753361 |
| Mailing Fax Number | 7706644431 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2016-06-07 |
| Authorized Official Name | MR. WESLEY O. JAMES (REGIONAL CFO, TENET) |
| Authorized Official Telephone | 4042655009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| Street Address |
1360 UPPER HEMBREE RD SUITE 201 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-1171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215928239 | Jennifer L. Tirino | Otolaryngology | 1360 Upper Hembree Rd, Suite 101, Roswell, GA 30076-1171 | 2005-10-31 |
| 1164664595 | Alpharetta Head and Neck Surgical Center, LLC | Clinic/Center | 1360 Upper Hembree Rd, Suite 202, Roswell, GA 30076-1171 | 2009-03-31 |
| 1699945311 | Thomas A. Johnson, Dds | Dentist | 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1146 | 2008-03-10 |
| 1932312154 | Judy Spears | Audiologist | 1360 Upper Hembree Rd, 201, Roswell, GA 30076-1146 | 2007-05-07 |
| 1326251588 | Lesa Kagan | Audiologist | 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1146 | 2007-05-07 |
| 1437290004 | Kshitij Vipin Majmundar | Specialist | 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1146 | 2007-02-08 |
| 1821144221 | Alpharetta Women's Specialists | Obstetrics & Gynecology | 1360 Upper Hembree Rd, Suite # 101, Roswell, GA 30076-1146 | 2007-01-26 |
| 1013071273 | Northside Ear, Nose & Throat, PC | Allergy & Immunology | 1360 Upper Hembree Rd, 201, Roswell, GA 30076-1171 | 2006-12-21 |
| 1316032881 | Samuel Lorenzo | Emergency Medicine | 1360 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1171 | 2006-10-03 |
| 1356443089 | Thomas Chacko | Allergy & Immunology | 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1146 | 2006-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669648986 | Lily Gem Hwang | Allergy & Immunology | 1357 Hembree Rd Ste 200, Roswell, GA 30076-5710 | 2008-05-06 |
| 1891720108 | Michael S. Blaiss | Allergy & Immunology | 1090 Windfaire Pl, Roswell, GA 30076-3307 | 2006-07-12 |
| 1548400559 | Allergy & Asthma Clinic, LLC | Allergy & Immunology | 1717 W 2nd St, Suite 219, Roswell, NM 88201-2000 | 2009-03-03 |
| 1184888588 | Allergy and Asthma Consultants, P.C. | Allergy & Immunology | 11660 Alpharetta Hwy, Bldg 600 Suite 620, Roswell, GA 30076-4943 | 2008-07-15 |
| 1013071273 | Northside Ear, Nose & Throat, PC | Allergy & Immunology | 1360 Upper Hembree Rd, 201, Roswell, GA 30076-1171 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935411 | St. Mary's Medical Group, Inc. | Allergy & Immunology | 1360 Caduceus Way Bldg 200-102, Watkinsville, GA 30677-7349 | 2020-06-02 |
| 1750902185 | Center for Allergy and Asthma Southern Crescent | Allergy & Immunology | 1975 Highway 54 W Ste 255, Peachtree City, GA 30269-4794 | 2020-04-27 |
| 1003472036 | Annual Wellness Centers of America | Allergy & Immunology | 753 Old Norcross Rd Ste B, Lawrenceville, GA 30046-4312 | 2019-05-15 |
| 1821567371 | Breathe Better Allergy Asthma & Sinus Center, Inc | Allergy & Immunology | 950 S Enota Dr Ne Ste A, Gainesville, GA 30501-2439 | 2018-11-14 |
| 1982111316 | Sofia Miriam Sheikh | Allergy & Immunology | 4003 Oak Forest Dr Ne, Marietta, GA 30062-8022 | 2018-01-08 |
| 1366969560 | Allergy Consulting Group, LLC | Allergy & Immunology | 5752b Buford Hwy Ne, Doraville, GA 30340-1207 | 2017-08-28 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1730597196 | Allergy Testing Solutions, LLC | Allergy & Immunology | 789 Hammond Dr, Unit 2510, Sandy Springs, GA 30328-8161 | 2014-07-30 |
| 1164863999 | Chih-yin Yeh | Allergy & Immunology | 5673 Peachtree Dunwoody Rd # 445, Atlanta, GA 30342-1731 | 2013-07-09 |
| 1023352069 | Advanced Allergy Inc | Allergy & Immunology | 5512 Glenridge Dr Ne, Unit A, Atlanta, GA 30342-7213 | 2012-11-15 |
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| 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.