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EAR, NOSE & THROAT PLASTIC SURGERY CENTER
NPI 1821163577
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Douglasville, GA

Active since November 21, 2006
6130 PRESTLEY MILL RD STE C, DOUGLASVILLE, GA 30134(678) 838-3903(678) 838-7454 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ear, Nose & Throat Plastic Surgery Center NPPES

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

EAR, NOSE & THROAT PLASTIC SURGERY CENTER (NPI 1821163577) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Douglasville, Georgia and active in the NPI registry since November 2006. The organization lists Neil Anthony Persaud, Owner, as its authorized official.

NPPES Registry Identity

NPI1821163577
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameEAR, NOSE & THROAT PLASTIC SURGERY CENTER
Location Address6130 PRESTLEY MILL RD STE CDouglasville, GA 30134-2288
Mailing Address6130 Prestley Mill Rd Ste CDouglasville, GA 30134-2288 · (678) 838-3903 · Fax (678) 838-7454
Phone(678) 838-3903
Fax(678) 838-7454
Organization SubpartNo
Authorized OfficialNeil Anthony PersaudOwner · (678) 838-3903
Enumeration DateNovember 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1821163577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
6130 PRESTLEY MILL RD STE C, Douglasville, GA 30134
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Other Identifiers 1

OtherCH6392GA · Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Ear, Nose & Throat Plastic Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Ear, Nose & Throat Plastic Surgery Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Andrew Barak, DO
Otolaryngology
NPI 1508824152
6130 PRESTLEY MILL RD STE C
Douglasville, GA 30134
(678) 838-3903
✔ PECOS✔ Accepts MedicareSame address
Jahmal Hairston, M.D.
Otolaryngology
NPI 1922187871
6130 PRESTLEY MILL RD STE C
Douglasville, GA 30134
(678) 838-3903
✔ PECOS✔ Accepts MedicareSame address
Neil Persaud, D.O
Otolaryngology
NPI 1356428700
6130 PRESTLEY MILL RD STE C
Douglasville, GA 30134
(678) 838-3903
✔ PECOS✔ Accepts MedicareSame address
Cang Nguyen, DO
Otolaryngology
NPI 1154860518
6130 PRESTLEY MILL RD STE C
Douglasville, GA 30134
(678) 838-3903
✔ PECOS✔ Accepts MedicareSame address

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 Ear, Nose & Throat Plastic Surgery Center's NPI number?

The NPI number for Ear, Nose & Throat Plastic Surgery Center is 1821163577. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Ear, Nose & Throat Plastic Surgery Center located?

Ear, Nose & Throat Plastic Surgery Center is located at 6130 Prestley Mill Rd Ste C, Douglasville, GA 30134. The listed phone number is (678) 838-3903.

What is Ear, Nose & Throat Plastic Surgery Center's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Ear, Nose & Throat Plastic Surgery Center enrolled in Medicare?

Yes. Ear, Nose & Throat Plastic Surgery Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ear, Nose & Throat Plastic Surgery Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Otolaryngology, reassign their Medicare billing to Ear, Nose & Throat Plastic Surgery Center. 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. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ear, Nose & Throat Plastic Surgery Center 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 & Throat Plastic Surgery Center 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 & Throat Plastic Surgery Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.