ETHNE HEALTH
NPI 1073389219
Clinic/Center - Dental in Clarkston, GA
About Ethne Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHNE HEALTH (NPI 1073389219) is a healthcare organization registered as a dental in Clarkston, Georgia and active in the NPI registry since November 2023. The organization holds a CLIA Microscopy certificate valid through November 18, 2026 and lists Daniel Flint Megill, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ethne Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Ethne Health, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (13)
Clarkston, GA 30021
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2157982
Ethne Health, Inc · Clarkston, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethne Health's NPI number?
The NPI number for Ethne Health is 1073389219. It was assigned to this organization in the NPPES registry on November 29, 2023.
Where is Ethne Health located?
Ethne Health is located at 4122 E Ponce De Leon Ave Ste 5, Clarkston, GA 30021. The listed phone number is (470) 799-0044.
What is Ethne Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is Ethne Health enrolled in Medicare?
Yes. Ethne Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ethne Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 6 Medicare specialties reassign their Medicare billing to Ethne Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dentist (4), Family Practice (3) and Hospitalist (2). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ethne Health hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2157982) is associated with this NPI, valid through November 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ethne Health accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Ethne Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ethne Health was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ethne Health · NPI 1073389219
Dental organization in Clarkston, Georgia. Organization record, active in the CMS NPPES registry since November 29, 2023.
## Identity
- **NPI:** 1073389219 (Entity type: Organization)
- **Enumerated:** November 29, 2023
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Daniel Megill, CFO
## Practice location
- **Address:** 4122 E PONCE DE LEON AVE STE 5, Clarkston, GA 30021-1838
- **Phone:** (470) 799-0044
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dentist (4), Family Practice (3), Hospitalist (2); 2 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1073389219) · Data from the CMS NPPES public registry.