NPIMap

Organization Active NPI

Newco Gi LLC

Doing business as GI North

  • Gastroenterology Physician
  • Cumming, GA
National Provider Identifier
1073999066
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
NEWCO GI LLC
Doing business as
GI North
Practice address
4150 Deputy Bill Cantrell Memorial Rd
Suite 290
Cumming, GA 30040-3005
Phone
(404) 446-0600
Fax
(404) 446-0601
NPI assigned
Aug 3, 2015
Last updated
Mar 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Simon Cofrancesco, MDNPI 1396795241
Title
President
Phone
(404) 446-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 62826 GA
Gastroenterology Physician 207RG0100X NU Primary
Anatomic Pathology Physician 207ZP0101X NU

Addresses

Primary practice location

4150 Deputy Bill Cantrell Memorial Rd
Suite 290
Cumming, GA 30040-3005

Mailing address

4150 Deputy Bill Cantrell Memorial Rd
Suite 290
Cumming, GA 30040-3005
Phone (404) 446-0600

Other names 1

  • GI North Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151119000230 GA Part B Supplier - Clinic/Group Practice 6204136583 Receives reassigned benefits from 17 practitioners
Practice locations: Cumming, GA

National Provider Directory

National Provider Directory
Tax ID family
Gi North2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3050 Royal Blvd S
Ste 175
Alpharetta, GA 30022

1505 Northside Blvd
Ste 4000
Cumming, GA 30041
Phone (404) 446-0600

4150 Dep Bill Cantrell Memorial Rd
Ste 290
Cumming, GA 30040
Phone (404) 446-0600

200 Dawson Commons Cir
Ste 230
Dawsonville, GA 30534

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1073999066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL RD",
            "address_2": "SUITE 290",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403005",
            "telephone_number": "404-446-0600",
            "fax_number": "404-446-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL RD",
            "address_2": "SUITE 290",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403005",
            "telephone_number": "404-446-0600",
            "fax_number": "404-446-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWCO GI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "COFRANCESCO",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-446-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "62826",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GI North",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GI North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.