CARROLLTON EAR, NOSE AND THROAT
NPI 1760410401
Otolaryngology in Carrollton, GA
About Carrollton Ear, Nose And Throat NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARROLLTON EAR, NOSE AND THROAT (NPI 1760410401) is a healthcare organization registered as an otolaryngology in Carrollton, Georgia and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Vicki Williamson, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carrollton Ear, Nose And Throat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Carrollton Ear, Nose And Throat, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
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 11D0256208
Carrollton Ear Nose & Throat · Carrollton, GACertificate of Waiver 11D1086146
Carrollton Ear Nose And Throat · Bremen, GAFrequently 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 Carrollton Ear, Nose And Throat, P.C.'s NPI number?
The NPI number for Carrollton Ear, Nose And Throat, P.C. is 1760410401. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is also known as Carrollton Ear, Nose And Throat.
Where is Carrollton Ear, Nose And Throat, P.C. located?
Carrollton Ear, Nose And Throat, P.C. is located at 150 Clinic Ave Suite 201, Carrollton, GA 30117. The listed phone number is (770) 832-1488.
What is Carrollton Ear, Nose And Throat, P.C.'s specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Carrollton Ear, Nose And Throat, P.C. enrolled in Medicare?
Yes. Carrollton Ear, Nose And Throat, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carrollton Ear, Nose And Throat, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Carrollton Ear, Nose And Throat, P.C.. 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 (5) and Nurse Practitioner (2). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Carrollton Ear, Nose And Throat, P.C. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Carrollton Ear, Nose And Throat, P.C. was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Carrollton Ear, Nose And Throat · NPI 1760410401
Otolaryngology organization in Carrollton, Georgia. Organization record, active in the CMS NPPES registry since June 29, 2006.
## Identity
- **NPI:** 1760410401 (Entity type: Organization)
- **Enumerated:** June 29, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Legal business name:** Carrollton Ear, Nose And Throat, P.c.
- **Organization subpart:** No
- **Authorized official:** Vicki Williamson, ADMINISTRATOR
## Practice location
- **Address:** 150 CLINIC AVE, SUITE 201, Carrollton, GA 30117-4401
- **Phone:** (770) 832-1488
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Otolaryngology (5), Nurse Practitioner (2); 5 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2022
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1760410401) · Data from the CMS NPPES public registry.