Gastroenterology Specialists of Dekalb

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROENTEROLOGY SPECIALISTS OF DEKALB

Practice address

3292 Mountain Dr
Suite a
Decatur, GA 30032-1102

Phone

(404) 294-8180

Fax

(404) 294-8188

NPI assigned

Mar 6, 2007

Last updated

Dec 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shirley Ann Harris, M.D.NPI 1417027277

Title

President

Phone

(404) 294-8180

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Shirley Ann Harris, M.D.

  • Gastroenterology Physician
  • Decatur, GA
  • NPI 1417027277
  Medicare reassignment Care Compare group Authorized official
• Kavitha Gopal, M.D.

  • Gastroenterology Physician
  • Decatur, GA
  • NPI 1467613844
  Medicare reassignment Care Compare group
• Prashant Sharma, M.D.

  • Gastroenterology Physician
  • Carrollton, GA
  • NPI 1902059314
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1144350869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3292 MOUNTAIN DR",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321102",
            "telephone_number": "404-294-8180",
            "fax_number": "404-294-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 MOUNTAIN DR",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321102",
            "telephone_number": "404-294-8180",
            "fax_number": "404-294-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY SPECIALISTS OF DEKALB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-294-8180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lynch Garstka
• Sara P. Gartland, LMT
• Carla Y. Garvin, LPC
• Gary R Botstein MD
• Gastro Specialists Research Center, LLC
• Elizabeth Gatchel, MPT
• Bernice Gates
• Titus Jamal Gates, PHARMD
• Phyllis Ann Gatewood, R.D.
• Jeffery Gause, PSY. D.

• Gastroenterology Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.