CHILDREN'S ENT ASSOCIATES
NPI 1114103595
Clinic/Center - Medical Specialty in Suwanee, GA
- Organization
- Clinic/Center
- Medical Specialty
- CLIA Number: 11D1078948
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-17-2028
About CHILDREN'S ENT ASSOCIATES
This page provides the complete NPI Profile along with additional information for Children's Ent Associates, a provider established in Suwanee, Georgia operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1114103595 assigned on January 2008. The practitioner's primary taxonomy code is 261QM2500X with license number 036754 (GA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Children's Ent Associates. The authorized official of this NPI record is Dr. Jeffrey E Goldberg Md (Owner)
- NPI
- 1114103595 Verify this NPI
- Provider Legal Name
- JEFFREY E GOLDBERG, MD, PC
- Other Organization Name
- CHILDREN'S ENT ASSOCIATES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4245 JOHNS CREEK PARKWAY SUITE D SUWANEE, GA 30024
- Location Phone
- (770) 495-3820
- Location Fax
- (770) 495-3820
- Mailing Address
- 4245 JOHNS CREEK PARKWAY SUITE D SUWANEE, GA 30024
- Mailing Phone
- (770) 495-3820
- Mailing Fax
- (770) 495-3820
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-15-2008
- Last Update Date
- 09-02-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- 036754
- License State
- GA
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000630594B | MEDICAID (05) | GA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D1078948
- Facility Type
- Physician Office
- Certificate Effective Date
- January 18, 2026
- Certificate Expiration Date
- January 17, 2028
- Laboratory Director
- JEFFREY E. GOLDBERG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Children's Ent Associates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for CHILDREN'S ENT ASSOCIATES
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
SUWANEE, GA 30024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114103595, enumerated as an "organization" on January 15, 2008.
The provider is located at 4245 JOHNS CREEK PARKWAY SUITE D SUWANEE, GA 30024 and the phone number is (770) 495-3820.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
