1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Otolaryngology
  6. NPI Profile

ADVANCED EAR NOSE AND THROAT ASSOCIATES PC
NPI 1073655882
Otolaryngology in Atlanta, GA

Active since February 12, 2007
960 JOHNSON FERRY RD NE, SUITE 200, ATLANTA, GA 30342(404) 943-0900(404) 943-1390 Get Directions Write a Review

NPPES record last updated: January 14, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Ear Nose And Throat Associates Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED EAR NOSE AND THROAT ASSOCIATES PC (NPI 1073655882) is a healthcare organization registered as an otolaryngology in Atlanta, Georgia and active in the NPI registry since February 2007. The organization lists Kelly Ladd, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1073655882
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameADVANCED EAR NOSE AND THROAT ASSOCIATES PC
Location Address960 JOHNSON FERRY RD NE, SUITE 200Atlanta, GA 30342-1631
Mailing Address960 Johnson Ferry Rd Ne, Suite 200Atlanta, GA 30342-1631 · (404) 943-0900 · Fax (404) 943-1390
Phone(404) 943-0900
Fax(404) 943-1390
Organization SubpartNo
Authorized OfficialKelly LaddPractice Manager · (404) 943-0900
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJanuary 14, 2013
✔ NPI 1073655882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in GA · 657566
Definition
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.
960 JOHNSON FERRY RD NE, Atlanta, GA 30342
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN4067GRPGA
OtherCH9705GA · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Ear Nose And Throat Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Advanced Ear Nose And Throat Associates PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Elizabeth Wadsworth, MD, MSCR
Otolaryngology
NPI 1255985750
960 JOHNSON FY RD NE STE 200
Atlanta, GA 30342
(404) 943-0900
✔ PECOSSame address
Gamwell Rogers, M.D.
Otolaryngology
NPI 1528269677
960 JOHNSON FERRY RD NE SUITE 200
Atlanta, GA 30342
(404) 943-0900
✔ PECOSSame address
Andrew Golde, MD
Otolaryngology
NPI 1326080441
960 JOHNSON FERRY RD SUITE 200
Atlanta, GA 30342
(404) 943-0900
✔ PECOSSame address
Preston Lewis
Qualified Audiologist
NPI 1881210912
960 JOHNSON FY RD NE STE 200
Atlanta, GA 30342
(404) 943-0900
Same address
Samuel Mickelson, MD
Otolaryngology
NPI 1467410977
960 JOHNSON FERRY RD SUITE 200
Atlanta, GA 30342
(404) 943-0900
✔ PECOSSame address
Stacy Pickelman, AU.D.
Qualified Audiologist
NPI 1558660381
960 JOHNSON FERRY RD STE 200
Atlanta, GA 30342
(404) 943-0900
Same address
Steven Bomeli, M.D.
Otolaryngology
NPI 1639372147
960 JOHNSON FY RD NE SUITE 200
Atlanta, GA 30342
(404) 943-0900
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Advanced Ear Nose And Throat Associates PC's NPI number?

The NPI number for Advanced Ear Nose And Throat Associates PC is 1073655882. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Advanced Ear Nose And Throat Associates PC located?

Advanced Ear Nose And Throat Associates PC is located at 960 Johnson Ferry Rd NE Suite 200, Atlanta, GA 30342. The listed phone number is (404) 943-0900.

What is Advanced Ear Nose And Throat Associates PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Advanced Ear Nose And Throat Associates PC enrolled in Medicare?

Yes. Advanced Ear Nose And Throat Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Ear Nose And Throat Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Ear Nose And Throat Associates PC. 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 Otolaryngology (5) and Qualified Audiologist (2). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Ear Nose And Throat Associates PC was last updated on January 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.