Organization Active NPI

Gastro Health for Kids Incorporated

  • Pediatric Gastroenterology Physician
  • Gainesville, GA
National Provider Identifier
1114565090
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
Legal business name
GASTRO HEALTH FOR KIDS INCORPORATED
Practice address
535 Jesse Jewell Pkwy SE Ste a
Gainesville, GA 30501-3772
Phone
(470) 228-4778
NPI assigned
Dec 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Dr. Ritu Walia, MDNPI 1255599973
Title
Owner
Phone
(470) 228-4778

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0206X Primary

Addresses

Primary practice location

535 Jesse Jewell Pkwy SE Ste a
Gainesville, GA 30501-3772

Mailing address

821 Dawsonville Hwy Ste 250-307
Gainesville, GA 30501-2636
Phone (470) 228-4778

National Provider Directory

National Provider Directory

Locations

101 Greenfield Dr
Ste 200
Cumming, GA 30040

1208 Sherwood Park Dr NE
#A
Gainesville, GA 30501

821 Dawsonville Hwy
Ste 250307
Gainesville, GA 30501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1114565090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 DAWSONVILLE HWY STE 250-307",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012636",
            "telephone_number": "470-228-4778",
            "fax_number": "470-220-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JESSE JEWELL PKWY SE STE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013772",
            "telephone_number": "470-228-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO HEALTH FOR KIDS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "WALIA",
        "authorized_official_first_name": "RITU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-228-4778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.