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

Jeffrey Ira Roth, MD

Individual provider Otolaryngology Physician · NPI 1417945320

Jeffrey Ira Roth, MD is an Otolaryngology in Suwanee, Georgia. Graduated from State University of Ny Upstate Medical University in 1991, 35 years ago. Practices with Northeast Atlanta Ear Nose and Throat, PC, a 15-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
35
Trained at
State University of Ny Upstate Medical University
Licensed in
GA
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4385 Johns Creek Pkwy Ste 250
Suwanee, GA 30024-6048
Phone: (770) 623-1608
Fax: (678) 992-2540
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 041654 (GA)
Pediatric Otolaryngology Physician Taxonomy 207YP0228X · Licence 041654 (GA)
Otolaryngic Allergy Physician Taxonomy 207YX0602X · Licence 041654 (GA)

Record details

NPI number1417945320
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2005
Last updated in NPPESDecember 18, 2009

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 1991 (35 years in practice)
Group practice Northeast Atlanta Ear Nose And Throat, P.C. — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Suwanee