Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Andrew Paul Barak, DO

Individual provider Otolaryngology Physician · NPI 1508824152

Dr. Andrew Paul Barak, DO is an Otolaryngology in Douglasville, Georgia. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 1978, 48 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia and Michigan.

Years since qualifying
48
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
GA, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6130 Prestley Mill Rd Ste C
Douglasville, GA 30134-2288
Phone: (678) 838-3903
Fax: (678) 838-7454
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 67354 (GA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence AB007458 (MI)

Record details

NPI number1508824152
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 3, 2006
Last updated in NPPESApril 20, 2022
Certification dateApril 20, 2022
Mailing address2323 E Paris Ave Se, Ste 102, Grand Rapids, MI 49546-2414

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 1978 (48 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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