Organization Active NPI

GSG West LLC

  • Gastroenterology Physician
  • Lawrenceville, GA
National Provider Identifier
1174480321
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GSG WEST LLC
Practice address
721 Wellness Way Ste 100
Lawrenceville, GA 30046-3304
Phone
(770) 995-3113
Fax
(770) 277-2930
NPI assigned
Jan 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
William Gordon Tanner, MDNPI 1114911294
Title
Owner
Phone
(770) 995-3113

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

721 Wellness Way Ste 100
Lawrenceville, GA 30046-3304

Mailing address

721 Wellness Way Ste 100
Lawrenceville, GA 30046-3304
Phone (770) 995-3113

National Provider Directory

National Provider Directory

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": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1174480321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 WELLNESS WAY STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463304",
            "telephone_number": "770-995-3113",
            "fax_number": "770-277-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 WELLNESS WAY STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463304",
            "telephone_number": "770-995-3113",
            "fax_number": "770-277-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSG WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-995-3113",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.