Organization Active NPI

Rahhal Gastroenterology Associates, PC

  • Gastroenterology Physician
  • Cordele, GA
National Provider Identifier
1124332804
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
RAHHAL GASTROENTEROLOGY ASSOCIATES, PC
Practice address
910 N 5TH St
Cordele, GA 31015-3254
Phone
(229) 276-2185
Fax
(229) 276-2186
NPI assigned
Aug 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Fadi E Rahhal, M.D.
Title
MD / Owner
Phone
(229) 276-2185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X GA Primary

Addresses

Primary practice location

910 N 5TH St
Cordele, GA 31015-3254

Mailing address

PO Box 4047
Macon, GA 31208-4047
Phone (229) 276-2185

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1124332804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4047",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312084047",
            "telephone_number": "229-276-2185",
            "fax_number": "229-276-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N 5TH ST",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153254",
            "telephone_number": "229-276-2185",
            "fax_number": "229-276-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHHAL GASTROENTEROLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "RAHHAL",
        "authorized_official_first_name": "FADI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD / OWNER",
        "authorized_official_telephone_number": "229-276-2185",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordele, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.