Individual provider Active NPI

Ira G Knepp, M.D.

  • Gastroenterology Physician
  • Albany, GA
National Provider Identifier
1174517379
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
034002 Issued in GA
Practice address
1009 N Monroe St
Albany, GA 31701-1970
Phone
(229) 883-0298
NPI assigned
Sep 2, 2005
Last updated
Mar 11, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 034002 GA Primary

Addresses

Primary practice location

1009 N Monroe St
Albany, GA 31701-1970

Mailing address

1009 N Monroe St
Albany, GA 31701-1970
Phone (229) 883-0298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090121000634 GA Practitioner - GastroenterologyPractitioner - Internal Medicine 0345144689 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
034002GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Cancer Center Surgical Oncology CurrentSince Mar 1, 2020 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jan 1, 2009 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Mar 1, 2020 Accepting new patients
Phoebe Putney Memorial Hospital Inc Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients

Locations

1009 N Monroe St
Albany, GA 31701
Phone (229) 883-0298

1009 N Monroe St
Ste 102
Albany, GA 31701
Phone (229) 883-0298

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

2740 Ray Knight Way
Ste 100
Albany, GA 31707
Phone (229) 312-0698

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8478/brand/1/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1174517379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N MONROE ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011970",
            "telephone_number": "229-883-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N MONROE ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011970",
            "telephone_number": "229-883-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEPP",
        "first_name": "IRA",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "034002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.