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

Dr. David Macy Vidrine, MD

Individual provider Pediatric Otolaryngology Physician · NPI 1447293121

Dr. David Macy Vidrine, MD is an Otolaryngology in Marietta, Georgia. Graduated from Louisiana State University School of Medicine in New Orleans in 2001, 25 years ago. Practices with South Carolina ENT Allergy and Sleep Medicine PA, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Georgia, Massachusetts and South Carolina.

Years since qualifying
25
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
FL, GA, MA, SC
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

80 Lacy St NW
Marietta, GA 30060-1112
Phone: (770) 427-0368
Fax: (678) 581-5969
Show map & directions

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

Additional practice locations (1)

  • 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 — (863) 680-7000

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 109818 (GA)
Pediatric Otolaryngology Physician Taxonomy 207YP0228X · Licence 30117 (SC)
Pediatric Otolaryngology Physician Taxonomy 207YP0228X · Licence 226983 (MA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence ME181268 (FL)

Record details

NPI number1447293121
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing addressPo Box 23781, New York, NY 10087-3781

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Also practisesALLERGY/IMMUNOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2001 (25 years in practice)
Group practice South Carolina Ent Allergy And Sleep Medicine Pa — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount