JOHNS CREEK ENT PC
NPI 1144295551
Otolaryngology - Otology & Neurotology in Suwanee, GA

NPI Status: Active since February 20, 2006

Contact Information

4045 JOHNS CREEK PKWY
SUITE C
SUWANEE, GA
ZIP 30024
Phone: (770) 495-7116

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  • Organization
  • Otolaryngology
  • Otology & Neurotology
  • Accepts Insurance

About JOHNS CREEK ENT PC

This page provides the complete NPI Profile along with additional information for Johns Creek Ent Pc, a provider established in Suwanee, Georgia operating as a Otolaryngology, focusing in otology & neurotology . The healthcare provider is registered in the NPI registry with number 1144295551 assigned on February 2006. The practitioner's primary taxonomy code is 207YX0901X with license number 042452 (GA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Fermin V Stewart M.d. (Doctor)

NPI
1144295551
Provider Name
JOHNS CREEK ENT PC
Entity Type
Organization
Location Address
4045 JOHNS CREEK PKWY SUITE C SUWANEE, GA 30024
Location Phone
(770) 495-7116
Mailing Address
4045 JOHNS CREEK PKWY SUITE C SUWANEE, GA 30024
Mailing Phone
(770) 495-7116
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2006
Last Update Date
04-20-2008
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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

Otolaryngology Otology & Neurotology

Taxonomy Code
207YX0901X
Type
Allopathic & Osteopathic Physicians
License No.
042452
License State
GA
Taxonomy Description
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

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.

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.

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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FERMIN V STEWART M.D.

Authorized Official Title
DOCTOR
Authorized Official Phone
(770) 495-7116

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
=========OTHER (01)GATRICARE
=========OTHER (01)GAUNICARE
=========OTHER (01)GACIGNA
=========OTHER (01)GAONE HEALTH PLAN
=========OTHER (01)GAFIRST HEALTH
=========OTHER (01)GAPHCS
=========OTHER (01)GABCBS
=========OTHER (01)GAGEORGIA 1ST
=========OTHER (01)GABEECHSTREET
=========OTHER (01)GAUNITED HEALTHCARE
E63399MEDICARE UPIN (02)GA 
=========OTHER (01)GAHUMANA
04BDCHMMEDICARE ID-TYPE UNSPECIFIED (04)GA 
=========OTHER (01)GACOVENTRY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144295551
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21844910510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 4 + 9 + 1 + 0 + 5 + 1 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1144295551 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

FERMIN V STEWART M.D.

Otolaryngology

(Otology & Neurotology)

4045 JOHNS CREEK PKWY
SUITE C
SUWANEE, GA
ZIP 30024

(770) 495-7116

HALEH M STRATTON P.A.

Physician Assistant

(Medical)

4045 JOHNS CREEK PKWY
SUITE C
SUWANEE, GA
ZIP 30024

(770) 495-7116

MRS. LAUREN GROVES VAN DER SLUYS P.T.

Physical Therapist

4045 JOHNS CREEK PKWY
SUWANEE, GA
ZIP 30024

(678) 206-6061

PHYSIOTHERAPY ASSOCIATES INC

Clinic/Center

(Rehabilitation)

4045 JOHNS CREEK PKWY
SUWANEE, GA
ZIP 30024

(678) 206-6061

NORTH GEORGIA AUDIOLOGY AND HEARING AID CENTER, LLC

Audiologist

4045 JOHNS CREEK PKWY
SUITE B
SUWANEE, GA
ZIP 30024

(770) 814-1260

DR. DEBORAH TRAUTH WOODWARD AUD, CCC-A

Audiologist

4045 JOHNS CREEK PKWY
SUITE B
SUWANEE, GA
ZIP 30024

(770) 814-1260

SARAH REGINA COOPER PT, DPT

Physical Therapist

4045 JOHNS CREEK PKWY
BLDG B, SUITE A
SUWANEE, GA
ZIP 30024

(678) 206-6061

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144295551, enumerated as an "organization" on February 20, 2006.

The provider is located at 4045 JOHNS CREEK PKWY SUITE C SUWANEE, GA 30024 and the phone number is (770) 495-7116.

Otolaryngology with taxonomy code 207YX0901X and a focus in Otology & Neurotology.

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