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GEORGIA SURGICAL PROFESSIONAL SERVICES, LLC
NPI 1801224506
Otolaryngology in Atlanta, GA

Active since October 16, 2013
4380 GEORGETOWN SQ, SUITE 1002, ATLANTA, GA 30338(855) 709-4535(770) 234-9979 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 25, 2025, Jun 2, 2025, Jan 11, 2023 (3 updates tracked since 2023).

About Georgia Surgical Professional Services, Llc NPPES

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

GEORGIA SURGICAL PROFESSIONAL SERVICES, LLC (NPI 1801224506) is a healthcare organization registered as an otolaryngology in Atlanta, Georgia and active in the NPI registry since October 2013. The organization lists Amy E Fouts, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1801224506
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameGEORGIA SURGICAL PROFESSIONAL SERVICES, LLC
Location Address4380 GEORGETOWN SQ, SUITE 1002Atlanta, GA 30338-6254
Mailing Address1000 Johnson Fy Rd NeSandy Springs, GA 30342-1606 · (404) 851-8000
Phone(855) 709-4535
Fax(770) 234-9979
Organization SubpartNo
Authorized OfficialAmy E FoutsChief Compliance Officer · (404) 851-6968
Enumeration DateOctober 16, 2013
Last NPPES UpdateJune 12, 20263 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
✔ NPI 1801224506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4380 GEORGETOWN SQ, Atlanta, GA 30338
Open in Google Maps ↗

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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)

Georgia Surgical Professional Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

45

Medicare enrollment records show 45 clinicians reassign Medicare billing to Georgia Surgical Professional Services, LLC, which bills Medicare for the services they deliver. Of these, 29 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Qualified Audiologist21
Otolaryngology19
Nurse Practitioner5

Nearest to this location (20)

See all 45
Jodi Goldberg
Qualified Audiologist
NPI 1861663833
5673 PEACHTREE DUNWOODY RD STE 150
Atlanta, GA 30342
(404) 297-1780
✔ Accepts Medicare2.0 mi
Edra Hewitt, M.D.
Otolaryngology
NPI 1700861739
5673 PEACHTREE DUNWOODY RD STE 150
Atlanta, GA 30342
(404) 297-1780
✔ PECOS✔ Accepts Medicare2.0 mi
Robert Hoddeson, M.D.
Otolaryngology
NPI 1396742433
5673 PEACHTREE DUNWOODY RD STE 150
Atlanta, GA 30342
(404) 297-1780
✔ PECOS✔ Accepts Medicare2.0 mi
Michael Koriwchak, M.D.
Otolaryngology
NPI 1720085756
5673 PEACHTREE DUNWOODY RD STE 150
Atlanta, GA 30342
(404) 297-1780
✔ PECOS✔ Accepts Medicare2.0 mi
Kaelyn Krook, MD
Otolaryngology
NPI 1285990481
5673 PEACHTREE DUNWOODY RD STE 150
Atlanta, GA 30342
(404) 297-1780
✔ PECOS✔ Accepts Medicare2.0 mi
Kathryn Ladner, AUD
Qualified Audiologist
NPI 1861283384
5673 PEACHTREE DUNWOODY RD STE 150
Atlanta, GA 30342
(404) 297-4230
✔ Accepts Medicare2.0 mi
Jose Stolovitzky, M.D.
Otolaryngology
NPI 1558368415
5673 PEACHTREE DUNWOODY RD STE 150
Atlanta, GA 30342
(404) 297-1780
✔ PECOS✔ Accepts Medicare2.0 mi
Beftu Teklu, AUD
Qualified Audiologist
NPI 1003325911
5673 PEACHTREE DUNWOODY RD STE 150
Atlanta, GA 30342
(404) 297-1785
✔ Accepts Medicare2.0 mi
Malaika Witter Hewitt, M.D.
Otolaryngology
NPI 1174561138
5673 PEACHTREE DUNWOODY RD STE 150
Atlanta, GA 30342
(404) 297-1780
✔ PECOS✔ Accepts Medicare2.0 mi
Peter Abramson, MD
Otolaryngology
NPI 1003813379
5673 PEACHTREE DUNWOODY RD STE 150
Atlanta, GA 30342
(404) 297-1780
✔ PECOS✔ Accepts Medicare2.1 mi
Elizabeth Shaw, M.D.
Otolaryngology
NPI 1740264936
5670 PEACHTREE DUNWOODY RD NE SUITE 1280
Atlanta, GA 30342
(404) 257-1589
✔ PECOS✔ Accepts Medicare2.1 mi
Callie Adams, AUD
Qualified Audiologist
NPI 1447801170
5461 MERIDIAN MARKS RD STE 130
Atlanta, GA 30342
(404) 591-1884
2.4 mi
James Sipp, MD
Otolaryngology
NPI 1497886428
5461 MERIDIAN MARKS RD STE 130
Atlanta, GA 30342
(404) 255-2033
✔ PECOS2.4 mi
Matthew Whitley, M.D.
Otolaryngology
NPI 1689876872
5461 MERIDIAN MARKS RD STE 130
Atlanta, GA 30342
(404) 255-2033
✔ PECOS2.4 mi
Susan Duncan, AU.D.
Qualified Audiologist
NPI 1770742553
755 MOUNT VERNON HWY NE SUITE 370
Atlanta, GA 30328
(404) 252-7368
✔ Accepts Medicare2.5 mi
Kelly Heard, FNP-C
Nurse Practitioner
NPI 1689020265
755 MOUNT VERNON HWY NE SUITE 370
Atlanta, GA 30328
(404) 252-7368
✔ PECOS✔ Accepts Medicare2.5 mi
Jodi Bykat, AUD
Qualified Audiologist
NPI 1972980407
1901 CENTURY BLVD NE STE 20
Atlanta, GA 30345
(404) 633-8911
✔ Accepts Medicare5.3 mi
Jiovanne Hughart, AUD
Qualified Audiologist
NPI 1205837705
4800 OLDE TOWNE PKWY STE 360
Marietta, GA 30068
(770) 971-1533
✔ Accepts Medicare6.1 mi
Lawrence Weiss, M.D.
Otolaryngology
NPI 1912996422
3901 ROSWELL RD STE 225
Marietta, GA 30062
(770) 971-1533
✔ PECOS✔ Accepts Medicare7.8 mi
Danelle Medlin, CPNP
Nurse Practitioner
NPI 1457605974
1405 CLIFTON RD NE FL 3
Atlanta, GA 30322
(404) 785-6670
✔ PECOS8.9 mi
See all 45 clinicians

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 Georgia Surgical Professional Services, LLC's NPI number?

The NPI number for Georgia Surgical Professional Services, LLC is 1801224506. It was assigned to this organization in the NPPES registry on October 16, 2013.

Where is Georgia Surgical Professional Services, LLC located?

Georgia Surgical Professional Services, LLC is located at 4380 Georgetown Sq Suite 1002, Atlanta, GA 30338. The listed phone number is (855) 709-4535.

What is Georgia Surgical Professional Services, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Georgia Surgical Professional Services, LLC enrolled in Medicare?

Yes. Georgia Surgical Professional Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Georgia Surgical Professional Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 3 Medicare specialties reassign their Medicare billing to Georgia Surgical Professional Services, LLC. 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 Qualified Audiologist (21), Otolaryngology (19) and Nurse Practitioner (5). Of these, 29 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Georgia Surgical Professional Services, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Georgia Surgical Professional Services, 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 Georgia Surgical Professional Services, LLC was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.