NPI age
14 years
Enumerated 2012-03-01
● Active Type 2 · Organization
Northwest Ent Surgery Center, Llc
Northwest Ent Surgery Center, Llc is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Egea
Administrator
Last NPPES update
2013-01-18
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
14 years
≈ at median (15 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-03Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
960 Woodstock Pkwy, Suite 101
Woodstock, GA 301884866
Mailing address
960 Woodstock Pkwy, Suite 101
Woodstock, GA 301884866
Authorized official
Carlos M Egea
Administrator
📞 7704270368
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Daniel Cobery Registered Nurse NPI 1467219147
- Kimberley Glenn, PA Physician Assistant NPI 1659601649
- Christopher Parman, M.D. Family Medicine NPI 1104807114
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 028-461 | GEORGIA STATE LICENSE |
Practice context
Multi-provider organization. 3 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.