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NORTH ATLANTA EAR, NOSE & THROAT SURGICAL CENTER, LLC
NPI 1639696529
Clinic/Center - Ambulatory Surgical in Cumming, GA

Active since August 23, 2017CLIA 11D2133949 · Waiver
4150 DEPUTY BILL CANTRELL MEMORIAL RD, STE 160, CUMMING, GA 30040(470) 297-0257(770) 292-3046 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2021, Aug 23, 2017 (2 updates tracked since 2017).

About North Atlanta Ear, Nose & Throat Surgical Center, Llc NPPES

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

NORTH ATLANTA EAR, NOSE & THROAT SURGICAL CENTER, LLC (NPI 1639696529) is a healthcare organization registered as an ambulatory surgical in Cumming, Georgia and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Sheree Moon, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1639696529
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTH ATLANTA EAR, NOSE & THROAT SURGICAL CENTER, LLC
Location Address4150 DEPUTY BILL CANTRELL MEMORIAL RD, STE 160Cumming, GA 30040
Mailing Address4150 Deputy Bill Cantrell Memorial Rd., Suite 160Cumming, GA 30040 · (470) 297-0257 · Fax (770) 292-3046
Phone(470) 297-0257
Fax(770) 292-3046
Organization SubpartNo
Authorized OfficialSheree MoonPractice Administrator · (470) 297-1123
Enumeration DateAugust 23, 2017
Last NPPES UpdateMay 19, 20212 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
✔ NPI 1639696529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4150 DEPUTY BILL CANTRELL MEMORIAL RD, Cumming, GA 30040
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2133949

North Atlanta Ear Nose & Throat Surgical Center · Cumming, GA
Active · expires Jul 23, 2027
CLIA Number11D2133949
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorJoel A. Hoffman
Laboratory Phone(678) 997-9023
Laboratory LocationNorth Atlanta Ear Nose & Throat Surgical Center4150 Deputy Bill Cantrell Memorial Road, Suite 160, Cumming, GA 30040
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of nasal air passage under lining tissue 30140
This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.
42 services21 patients
Reshaping of nasal cartilage 30520
Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.
16 services16 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HIRAL N PATEL RPA-C
Physician Assistant (Medical)
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260
CUMMING, GA 30040
Forsyth County (770) 292-3045
DR. TYLER INCHUL AN D.O.
Internal Medicine (Gastroenterology)
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 290
CUMMING, GA 30040
Forsyth County (404) 446-0600
NEWCO GI LLC
Internal Medicine (Gastroenterology)
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 290
CUMMING, GA 30040
Forsyth County (404) 446-0600
ERIN EILEEN YARD APRN FNP-C
Nurse Practitioner (Family)
4150 DEPUTY BILL CANTRELL MEMORIAL RD
CUMMING, GA 30040
Forsyth County (404) 446-0600
LAURA ANN WYNN BS
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE T200
CUMMING, GA 30040
Forsyth County (470) 839-3041
LAURA M GENONE AUD
Audiologist
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260
CUMMING, GA 30040
Forsyth County (770) 292-3045
DR. JOSEPH ANTHONY SCIARRINO M.D.
Otolaryngology
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260
CUMMING, GA 30040
Forsyth County (770) 292-3045
DR. MARK B VANDEUSEN M.D.
Otolaryngology
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260
CUMMING, GA 30040
Forsyth County (770) 292-3045

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 North Atlanta Ear, Nose & Throat Surgical Center, LLC's NPI number?

The NPI number for North Atlanta Ear, Nose & Throat Surgical Center, LLC is 1639696529. It was assigned to this organization in the NPPES registry on August 23, 2017.

Where is North Atlanta Ear, Nose & Throat Surgical Center, LLC located?

North Atlanta Ear, Nose & Throat Surgical Center, LLC is located at 4150 Deputy Bill Cantrell Memorial Rd Ste 160, Cumming, GA 30040. The listed phone number is (470) 297-0257.

What is North Atlanta Ear, Nose & Throat Surgical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does North Atlanta Ear, Nose & Throat Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2133949) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Atlanta Ear, Nose & Throat Surgical Center, LLC accept?

Health plans from Alliant Health Plans, Inc. list North Atlanta Ear, Nose & Throat Surgical Center, LLC 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 North Atlanta Ear, Nose & Throat Surgical Center, LLC was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.