EAR NOSE & THROAT FACIAL PLASTICS & SLEEP DISORDER CENTER ASC LLC
NPI 1679007108
Clinic/Center - Ambulatory Surgical in Atlanta, GA

Active since April 11, 2017CLIA 11D2143065 · Waiver
601 PRYOR ST SW, ATLANTA, GA 30312(404) 350-9200(404) 529-9092 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2018, Apr 11, 2017 (2 updates tracked since 2017).

About Ear Nose & Throat Facial Plastics & Sleep Disorder Center Asc Llc NPPES

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

EAR NOSE & THROAT FACIAL PLASTICS & SLEEP DISORDER CENTER ASC LLC (NPI 1679007108) is a healthcare organization registered as an ambulatory surgical in Atlanta, Georgia and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Booker Terry Seymour, Owner, as its authorized official.

NPPES Registry Identity

NPI1679007108
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEAR NOSE AND THROAT FACIAL PLASTICS AND SLEEP DISORDER ASCLLC
Location Address601 PRYOR ST SWAtlanta, GA 30312
Mailing Address601 Pryor St SwAtlanta, GA 30312-2719 · (404) 350-9200 · Fax (404) 529-9092
Fax(404) 529-9092
Organization SubpartNo
Authorized OfficialBooker Terry SeymourOwner · (404) 350-9200
Enumeration DateApril 11, 2017
Last NPPES UpdateAugust 10, 20182 updates tracked since enumeration
NPI 1679007108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
601 PRYOR ST SW, Atlanta, GA 30312

Other Names 1

Doing Business AsEar Nose & Throat Facial Plastics & Sleep Disorder Center Asc Llc

Other Identifiers 2

Other1821164500GA · Individual Npi
Medicaid000663891AGA

Accepted 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 11D2143065

Ear Nose & Throat Facial Plastics And Sleep Disorder Center, ASC, LLC · Atlanta, GA
Active · expires Jan 23, 2028
CLIA Number11D2143065
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorBooker Terry Seymour III MD
Laboratory Phone(404) 350-9200
Laboratory LocationEar Nose & Throat Facial Plastics And Sleep Disorder Center, ASC, LLC601 Pryor Street, SW, Atlanta, GA 30312
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ear Nose And Throat Facial Plastics And Sleep Disorder Ascllc's NPI number?

The NPI number for Ear Nose And Throat Facial Plastics And Sleep Disorder Ascllc is 1679007108. It was assigned to this organization in the NPPES registry on April 11, 2017. The provider is doing business as Ear Nose & Throat Facial Plastics & Sleep Disorder Center ASC LLC.

Where is Ear Nose And Throat Facial Plastics And Sleep Disorder Ascllc located?

Ear Nose And Throat Facial Plastics And Sleep Disorder Ascllc is located at 601 Pryor St SW, Atlanta, GA 30312. The listed phone number is (404) 350-9200.

What is Ear Nose And Throat Facial Plastics And Sleep Disorder Ascllc's specialty?

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

Does Ear Nose And Throat Facial Plastics And Sleep Disorder Ascllc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2143065) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ear Nose And Throat Facial Plastics And Sleep Disorder Ascllc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ear Nose And Throat Facial Plastics And Sleep Disorder Ascllc 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 Ear Nose And Throat Facial Plastics And Sleep Disorder Ascllc was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.