VILLA RICA EAR NOSE & THROAT
NPI 1972523215
Otolaryngology in Villa Rica, GA

Q: What is Chattahoochee Healthcare LLC's NPI number?

The NPI number for Chattahoochee Healthcare LLC is 1972523215. It was assigned to this organization in the NPPES registry on July 20, 2006. The provider is doing business as Villa Rica Ear Nose & Throat.

Q: What is Chattahoochee Healthcare LLC's specialty?

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

Active since July 20, 2006CLIA 11D0950002 · Waiver

705 DALLAS HWY, SUITE 301, VILLA RICA, GA 30180(770) 459-0408(770) 459-1575 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Villa Rica Ear Nose & Throat NPPES

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

VILLA RICA EAR NOSE & THROAT (NPI 1972523215) is a healthcare organization registered as an otolaryngology in Villa Rica, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Vickie L Tanner, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1972523215

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameCHATTAHOOCHEE HEALTHCARE LLC

Location Address705 DALLAS HWY, SUITE 301Villa Rica, GA 30180-1247

Mailing Address705 Dallas Hwy, Suite 301Villa Rica, GA 30180-1247 · (770) 459-0408 · Fax (770) 459-1575

Phone(770) 459-0408

Fax(770) 459-1575

Organization SubpartNo

Authorized OfficialVickie L TannerOffice Manager · (770) 459-0408

Enumeration DateJuly 20, 2006

Last NPPES UpdateSeptember 1, 2015

✔ NPI 1972523215 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.

705 DALLAS HWY, Villa Rica, GA 30180

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Other Names 1

Doing Business AsVilla Rica Ear Nose & Throat

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Villa Rica Ear Nose & Throat, which bills Medicare for the services this clinician delivers.

Clinician (1)

Eric Andrist, M.D.

Otolaryngology

NPI 1568435642

705 DALLAS HWY SUITE 301
Villa Rica, GA 30180

(770) 459-0408

✔ PECOS✔ Accepts Medicare0.2 mi

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

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 11D0950002

Chattahoochee Healthcare LLC · Villa Rica, GA

Active · expires Oct 27, 2027

CLIA Number11D0950002

Laboratory TypePhysician Office

Certificate Effective DateOctober 28, 2025

Certificate Expiration DateOctober 27, 2027

Laboratory DirectorVickie L. Tanner

Laboratory Phone(770) 459-0408

Laboratory LocationChattahoochee Healthcare LLC705 Dallas Hwy Ste 301, Villa Rica, GA 30180

CLIA data matches this NPI record on: Address Name 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 Chattahoochee Healthcare LLC's NPI number?

The NPI number for Chattahoochee Healthcare LLC is 1972523215. It was assigned to this organization in the NPPES registry on July 20, 2006. The provider is doing business as Villa Rica Ear Nose & Throat.

Where is Chattahoochee Healthcare LLC located?

Chattahoochee Healthcare LLC is located at 705 Dallas Hwy Suite 301, Villa Rica, GA 30180. The listed phone number is (770) 459-0408.

What is Chattahoochee Healthcare LLC's specialty?

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

Is Chattahoochee Healthcare LLC enrolled in Medicare?

Yes. Chattahoochee Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chattahoochee Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Chattahoochee Healthcare 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Chattahoochee Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0950002) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chattahoochee Healthcare LLC was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.