NPI age
19 years
Enumerated 2006-11-21
● Active Type 2 · Organization
Ear, Nose & Throat Plastic Surgery Center
Ear, Nose & Throat Plastic Surgery Center 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
Persaud
Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 34 active otolaryngology providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
6130 Prestley Mill Rd Ste C
Douglasville, GA 301342288
Mailing address
6130 Prestley Mill Rd Ste C
Douglasville, GA 301342288
Authorized official
Neil Anthony Persaud, D.O
Owner
📞 6788383903
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Andrew Barak, DO Otolaryngology NPI 1508824152
- Raymond Edouard, FNP-C Nurse Practitioner NPI 1427509165
- Jahmal Hairston, M.D. Otolaryngology NPI 1922187871
- Cang Nguyen, DO Otolaryngology NPI 1154860518
- Neil Persaud, D.O Otolaryngology NPI 1356428700
- Rachel Sohnen, NP Nurse Practitioner NPI 1316690274
Specialties
-
Otolaryngology PrimaryAn otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | CH6392 | RAILROAD MEDICARE |
Practice context
Multi-provider organization. 6 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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.