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SOUTHERN OTOLOGIC CLINIC PC
NPI 1184651523
Otolaryngology - Otology & Neurotology in Augusta, GA

Active since June 28, 2006
818 SAINT SEBASTIAN WAY, SUITE 204, AUGUSTA, GA 30901(706) 724-0668(706) 724-1124 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Southern Otologic Clinic Pc NPPES

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

SOUTHERN OTOLOGIC CLINIC PC (NPI 1184651523) is a healthcare organization registered as an otology & neurotology in Augusta, Georgia and active in the NPI registry since June 2006. The organization lists William Henry Moretz, President, as its authorized official.

NPPES Registry Identity

NPI1184651523
Entity TypeOrganization
Primary Taxonomy207YX0901X
Legal Business NameSOUTHERN OTOLOGIC CLINIC PC
Location Address818 SAINT SEBASTIAN WAY, SUITE 204Augusta, GA 30901-2651
Mailing Address818 Saint Sebastian Way, Suite 204Augusta, GA 30901-2651 · (706) 724-0668 · Fax (706) 724-1124
Phone(706) 724-0668
Fax(706) 724-1124
Organization SubpartNo
Authorized OfficialWilliam Henry MoretzPresident · (706) 724-0668
Enumeration DateJune 28, 2006
Last NPPES UpdateAugust 4, 2008
✔ NPI 1184651523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
License✔ Licensed in GA · 24465
Definition
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.
818 SAINT SEBASTIAN WAY, Augusta, GA 30901
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINB04449GA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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)

Southern Otologic Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Otologic Clinic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

William Moretz, MD
Otolaryngology
NPI 1013942291
818 SAINT SEBASTIAN WAY SUITE 204
Augusta, GA 30901
(706) 724-0668
✔ PECOS✔ Accepts MedicareSame 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 Southern Otologic Clinic PC's NPI number?

The NPI number for Southern Otologic Clinic PC is 1184651523. It was assigned to this organization in the NPPES registry on June 28, 2006.

Where is Southern Otologic Clinic PC located?

Southern Otologic Clinic PC is located at 818 Saint Sebastian Way Suite 204, Augusta, GA 30901. The listed phone number is (706) 724-0668.

What is Southern Otologic Clinic PC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is Southern Otologic Clinic PC enrolled in Medicare?

Yes. Southern Otologic Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Otologic Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Southern Otologic Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Otologic Clinic PC accept?

Health plans from BlueCross BlueShield of South Carolina list Southern Otologic Clinic PC 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 Southern Otologic Clinic PC was last updated on August 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.