South Atlanta Ear Nose & Throat, PC
NPI 1548697196 · Specialist · Fayetteville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Atlanta Ear Nose & Throat, PC is a Specialist organization in Fayetteville, GA (NPI 1548697196).
Provider details
- NPI number
- 1548697196
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Tina Jackson, Business Manager(678) 534-5992
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2013-09-27
- Last updated
- 2026-04-16
- Certified
- 2026-04-16
Frequently asked questions
- What is South Atlanta Ear Nose & Throat, PC's NPI number?
- South Atlanta Ear Nose & Throat, PC's National Provider Identifier (NPI) is 1548697196, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Atlanta Ear Nose & Throat, PC?
- South Atlanta Ear Nose & Throat, PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is South Atlanta Ear Nose & Throat, PC located?
- South Atlanta Ear Nose & Throat, PC's practice location on file with NPPES is 1240 Highway 54 W Ste 710, Fayetteville, GA 30214-4565.
- What is South Atlanta Ear Nose & Throat, PC's phone number?
- The practice phone number listed in the NPPES registry for South Atlanta Ear Nose & Throat, PC is (770) 991-2800.
- Does South Atlanta Ear Nose & Throat, PC accept Medicare?
- South Atlanta Ear Nose & Throat, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Atlanta Ear Nose & Throat, PC?
- The authorized official listed on South Atlanta Ear Nose & Throat, PC's NPPES record is Tina Jackson, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Atlanta Ear Nose & Throat, PC's NPI active?
- Yes — South Atlanta Ear Nose & Throat, PC's NPI (1548697196) is active in the NPPES registry as of the last update on 2026-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.