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

NPI Status: Active since July 20, 2006

Contact Information

705 DALLAS HWY
SUITE 301
VILLA RICA, GA
ZIP 30180
Phone: (770) 459-0408
Fax: (770) 459-1575

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  • Organization
  • Otolaryngology
  • CLIA Number: 11D0950002
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-27-2027

About VILLA RICA EAR NOSE & THROAT

This page provides the complete NPI Profile along with additional information for Villa Rica Ear Nose & Throat, a provider established in Villa Rica, Georgia operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1972523215 assigned on July 2006. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Villa Rica Ear Nose & Throat. The authorized official of this NPI record is Vickie L Tanner (Office Manager)

NPI
1972523215
Provider Legal Name
CHATTAHOOCHEE HEALTHCARE LLC
Other Organization Name
VILLA RICA EAR NOSE & THROAT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
705 DALLAS HWY SUITE 301 VILLA RICA, GA 30180
Location Phone
(770) 459-0408
Location Fax
(770) 459-1575
Mailing Address
705 DALLAS HWY SUITE 301 VILLA RICA, GA 30180
Mailing Phone
(770) 459-0408
Mailing Fax
(770) 459-1575
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2006
Last Update Date
09-01-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VICKIE L TANNER

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(770) 459-0408

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0950002
Facility Type
Physician Office
Certificate Effective Date
October 28, 2025
Certificate Expiration Date
October 27, 2027
Laboratory Director
VICKIE L. TANNER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Villa Rica Ear Nose & Throat to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1972523215, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 4 + 2 + 1 + 0 + 2 + 6 + 2 + 2 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1972523215.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Otolaryngology
705 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Otolaryngology
705 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Family Medicine
705 DALLAS HWY, STE 101
VILLA RICA, GA 30180
Family Medicine
705 DALLAS HWY, SUITE 201
VILLA RICA, GA 30180
Nurse Anesthetist, Certified Registered
705 DALLAS HWY
VILLA RICA, GA 30180
Internal Medicine (Cardiovascular Disease)
705 DALLAS HWY, STE 104
VILLA RICA, GA 30180
Durable Medical Equipment & Medical Supplies
705 DALLAS HWY, STE 205
VILLA RICA, GA 30180
Dietitian, Registered
705 DALLAS HWY
VILLA RICA, GA 30180
Clinical Medical Laboratory
705 DALLAS HWY, SUITE 201
VILLA RICA, GA 30180
Family Medicine
705 DALLAS HWY, SUITE 101
VILLA RICA, GA 30180
Internal Medicine (Rheumatology)
705 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Family Medicine
705 DALLAS HWY, SUITE 101
VILLA RICA, GA 30180
Orthopaedic Surgery
705 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Internal Medicine (Gastroenterology)
705 DALLAS HWY
VILLA RICA, GA 30180
Family Medicine
705 DALLAS HWY, STE 101
VILLA RICA, GA 30180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972523215, enumerated as an "organization" on July 20, 2006.

The provider is located at 705 DALLAS HWY SUITE 301 VILLA RICA, GA 30180 and the phone number is (770) 459-0408.

Otolaryngology with taxonomy code 207Y00000X.