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ETHNE HEALTH
NPI 1073389219
Clinic/Center - Dental in Clarkston, GA

Active since November 29, 2023CLIA 11D2157982 · Microscopy
4122 E PONCE DE LEON AVE STE 5, CLARKSTON, GA 30021(470) 799-0044 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1073389219
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameETHNE HEALTH
Location Address4122 E PONCE DE LEON AVE STE 5Clarkston, GA 30021-1838
Mailing Address4122 E Ponce De Leon Ave Ste 5Clarkston, GA 30021-1838
Phone(470) 799-0044
Organization SubpartNo
Authorized OfficialDaniel Flint MegillCfo · (470) 799-0044
Enumeration DateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1073389219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4122 E PONCE DE LEON AVE STE 5, Clarkston, GA 30021
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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, GA
Active · expires Nov 18, 2026
CLIA Number11D2157982
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorSean R. Lindsey
Laboratory Phone(470) 799-0044
Laboratory LocationEthne Health, Inc980 Rowland Street Suite 4190, Clarkston, GA 30021
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAN R LINDSEY M.D.
Internal Medicine
4122 E PONCE DE LEON AVE STE 5
CLARKSTON, GA 30021
Dekalb County (470) 799-0044

Frequently Asked Questions

What is ETHNE HEALTH's NPI number?

The NPI number assigned to this healthcare provider is 1073389219, enumerated as an "organization" on November 29, 2023.

Where is the provider located?

The provider is located at 4122 E PONCE DE LEON AVE STE 5 CLARKSTON, GA 30021 and the phone number is (470) 799-0044.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

What insurance does ETHNE HEALTH accept?

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.