Organization Active NPI

Atlanta West Gastroenterology Associates PC

  • Gastroenterology Physician
  • Douglasville, GA
National Provider Identifier
1124172952
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
GA26928 Issued in GA
Legal business name
ATLANTA WEST GASTROENTEROLOGY ASSOCIATES PC
Practice address
6084 Professional Parkway
Suite #C
Douglasville, GA 30134
Phone
(770) 949-6548
Fax
(770) 949-9561
NPI assigned
Jan 22, 2007
Last updated
Sep 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Navinchandra M Ruparelia, MDNPI 1043364862
Title
Owner
Phone
(770) 949-6548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X GA26928 GA Primary

Addresses

Primary practice location

6084 Professional Parkway
Suite #C
Douglasville, GA 30134

Mailing address

6084 Professional Parkway
Suite #C
Douglasville, GA 30134
Phone (770) 949-6548

National Provider Directory

National Provider Directory

Locations

1605 Mulkey Rd
Austell, GA 30106
Phone (770) 949-6548

4904 Timber Ridge Dr
Ste 202A
Douglasville, GA 30135
Phone (678) 840-2288

6084 Professional Pkwy
Ste C
Douglasville, GA 30134
Phone (770) 942-1440

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1124172952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6084 PROFESSIONAL PARKWAY",
            "address_2": "SUITE #C",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "770-949-6548",
            "fax_number": "770-949-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6084 PROFESSIONAL PARKWAY",
            "address_2": "SUITE #C",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "770-949-6548",
            "fax_number": "770-949-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA WEST GASTROENTEROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "RUPARELIA",
        "authorized_official_first_name": "NAVINCHANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-949-6548",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "GA26928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.