NPI age
18 years
Enumerated 2007-09-12
● Active Type 2 · Organization
Ent And Facial Plastic Surgery Llc
Ent And Facial Plastic Surgery Llc is 1 of 34 otolaryngology organizations in Georgia.
Primary specialty
Otolaryngology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Garrett
Office Manager
Last NPPES update
2020-01-27
Source: monthly bulk 2026-05
How this organization compares
Across 34 active otolaryngology providers in Georgia.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-09Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
3193 Howell Mill Rd Nw, Suite 215
Atlanta, GA 303272119
Mailing address
3193 Howell Mill Rd Nw, Suite 215
Atlanta, GA 303272119
Authorized official
Valerie Garrett
Office Manager
📞 4043551312
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Jessica Alvarez, PH.D. Psychologist NPI 1518346246
- Crawford Barnett, M.D. Internal Medicine NPI 1164424735
- Medhanie Berhane, M.D, MBA Plastic Surgery NPI 1770797904
- Kathleen Bradford, NP Nurse Practitioner NPI 1881820009
- Jessica Brown, DPM Podiatrist NPI 1275044190
- Lauren Brown, M.D. Pediatrics NPI 1114160561
- David Deruyter, MD Internal Medicine NPI 1134196280
- Gerald Domescik, M.D. Radiology NPI 1457335101
- Stanley Eaton, M.D. Radiology NPI 1881678530
- Nicole Ellerine, M.D. Pediatrics NPI 1154494706
- Shea Fleming, M.D. Pediatrics NPI 1063585636
- Pedro Garcia, M.D. Specialist NPI 1558428300
- Charles Johnson, M.D. Internal Medicine NPI 1821129651
- Kamal Kabakibou, M.D. Specialist NPI 1356427850
- James Kiley, M.D. Internal Medicine NPI 1366555625
- Karen Kline, P.A. Physician Assistant NPI 1639277197
- Anna Kuo, M.D. Pediatrics NPI 1194898759
- William Lang, M.D. Radiology NPI 1346231925
- Laurel Lemasters, M.D. Radiology NPI 1609850353
- Dania Masseoud, M.D. Internal Medicine NPI 1568471258
Specialties
-
Otolaryngology PrimaryAn otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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