NORTHEAST GEORGIA OTOLARYNGOLOGY
NPI 1437217734
Specialist in Gainesville, GA

Active since December 05, 2006
2406 LIGHTHOUSE MANOR DR, GAINESVILLE, GA 30501(770) 536-4352(770) 532-8165 Get Directions Write a Review

NPPES record last updated: November 20, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northeast Georgia Otolaryngology NPPES

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

NORTHEAST GEORGIA OTOLARYNGOLOGY (NPI 1437217734) is a healthcare organization registered as a specialist in Gainesville, Georgia and active in the NPI registry since December 2006. The organization lists Roger William Farmer, Partner, as its authorized official.

NPPES Registry Identity

NPI1437217734
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHEAST GEORGIA OTOLARYNGOLOGY
Location Address2406 LIGHTHOUSE MANOR DRGainesville, GA 30501-7401
Mailing Address2406 Lighthouse Manor DrGainesville, GA 30501-7401 · (770) 536-4352 · Fax (770) 532-8165
Fax(770) 532-8165
Organization SubpartNo
Authorized OfficialRoger William FarmerPartner · (770) 536-4352
Enumeration DateDecember 5, 2006
Last NPPES UpdateNovember 20, 2008
✔ NPI 1437217734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2406 LIGHTHOUSE MANOR DR, Gainesville, GA 30501

Other Identifiers 1

Medicare ID-Type UnspecifiedGRP3285GA · Medicare Group Number

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)

Northeast Georgia Otolaryngology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Northeast Georgia Otolaryngology, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Otolaryngology7
Nurse Practitioner4
Qualified Audiologist4

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1255170569
2406 LIGHTHOUSE MANOR DR
Gainesville, GA 30501
(770) 536-4352
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1134117757
2406 LIGHTHOUSE MANOR DR
Gainesville, GA 30501
(770) 536-4352
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1194011437
2406 LIGHTHOUSE MANOR DR
Gainesville, GA 30501
(770) 536-4352
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1093054769
2406 LIGHTHOUSE MANOR DR
Gainesville, GA 30501
(770) 536-4352
✔ Accepts MedicareSame address
Otolaryngology
NPI 1326045048
2406 LIGHTHOUSE MANOR DR
Gainesville, GA 30501
(770) 536-4352
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1306406574
2406 LIGHTHOUSE MANOR DR
Gainesville, GA 30501
(770) 536-4352
Same address
Nurse Practitioner
NPI 1447987391
2406 LIGHTHOUSE MANOR DR
Gainesville, GA 30501
(770) 536-4352
✔ PECOSSame address
Otolaryngology
NPI 1336212521
2406 LIGHTHOUSE MANOR DR
Gainesville, GA 30501
(770) 536-4352
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1811998446
2406 LIGHTHOUSE MANOR DR
Gainesville, GA 30501
(770) 536-4352
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1083615611
2406 LIGHTHOUSE MANOR DR
Gainesville, GA 30501
(770) 536-4352
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1063564243
584 LANIER PARK DR
Gainesville, GA 30501
(770) 534-5208
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1477945673
1235 FRIENDSHIP RD STE 100
Braselton, GA 30517
(770) 536-4352
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1710789201
1235 FRIENDSHIP RD STE 100
Braselton, GA 30517
(770) 536-4352
✔ PECOS14 mi
Qualified Audiologist
NPI 1699883330
4320 SUWANEE DAM RD STE 200
Suwanee, GA 30024
(404) 297-4230
✔ Accepts Medicare24 mi
Qualified Audiologist
NPI 1982031340
1015 SPRING ST
Greenwood, SC 29646
(864) 227-6741
✔ Accepts Medicare95 mi

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 Northeast Georgia Otolaryngology's NPI number?

The NPI number for Northeast Georgia Otolaryngology is 1437217734. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Northeast Georgia Otolaryngology located?

Northeast Georgia Otolaryngology is located at 2406 Lighthouse Manor Dr, Gainesville, GA 30501. The listed phone number is (770) 536-4352.

What is Northeast Georgia Otolaryngology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Northeast Georgia Otolaryngology enrolled in Medicare?

Yes. Northeast Georgia Otolaryngology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Georgia Otolaryngology?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Northeast Georgia Otolaryngology. 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 (7), Nurse Practitioner (4) and Qualified Audiologist (4). Of these, 10 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northeast Georgia Otolaryngology was last updated on November 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.