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

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: August 09, 2026.

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

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.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARROLLTON ORTHOPAEDIC CLINIC, PC
Orthopaedic Surgery
705 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Carroll County (678) 601-5220
MUJEEB A JAN MD
Internal Medicine (Cardiovascular Disease)
705 DALLAS HWY, STE 104
VILLA RICA, GA 30180
Carroll County (404) 778-5543
INDUPRIYA PALASANI M.D.
Internal Medicine (Rheumatology)
705 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Carroll County (770) 459-0408
YUSHONDA D. LOFTON CRNA
Nurse Anesthetist, Certified Registered
705 DALLAS HWY
VILLA RICA, GA 30180
Carroll County (770) 456-3701
TMC WEST GEORGIA FAMILY MEDICINE INC
Family Medicine
705 DALLAS HWY, SUITE 101
VILLA RICA, GA 30180
Carroll County (770) 459-4411
DR. LAWRENCE W PRICE MD
Family Medicine
705 DALLAS HWY, STE 101
VILLA RICA, GA 30180
Carroll County (770) 456-3477
DR. ERIC C ANDRIST M.D.
Otolaryngology
705 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Carroll County (770) 459-0408
DR. JOHN H BURSON III M.D.
Otolaryngology
705 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Carroll County (770) 459-0408

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.

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 10 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.