P Praxis·MD
● Active Type 1 · Individual

Roberto A. Larrivey, MD

Otolaryngology·Marietta, GA· NPI 1720083702 · Enumerated 2005 · 20 years on NPI
Larrivey is 1 of 20 otolaryngology providers in Marietta and 1 of 450 in Georgia.
NPI age
20 years
Enumerated 2005-06-16
Primary specialty
Otolaryngology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-11-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 450 active otolaryngology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Practice location
790 Church St Ne, Ste 140
Marietta, GA 300608902
📞 7704257199fax 6788195538
Mailing address
5555 Peachtree Dunwoody Rd Ne, Ste 125
Atlanta, GA 303421703
📞 4042552918fax 4042555837

Specialties

  • Otolaryngology Primary
    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...
    GA license #052983 taxonomy 207Y00000X

Identifiers

TypeValueNotes
05 (GA) 956323850A
05 (GA) 956323850B

Practice context

Part of a multi-provider practice. 90 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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