OrganizationActive
Southern Otologic Clinic PC
NPI 1184651523 · Otology & Neurotology Physician · Augusta, GA
Provider details
- NPI number
- 1184651523
- Entity type
- Organization
- Primary specialty
- Otology & Neurotology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Moretz, President(706) 724-0668
- License
- 24465 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
818 Saint Sebastian Way
Suite 204
Augusta, GA 30901-2651
Phone: (706) 724-0668
Fax: (706) 724-1124
Street-level locationGet directions
Mailing address
818 Saint Sebastian Way
Augusta, GA 30901-2651
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2008-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.