NPIMap

Organization Active NPI

Professional Gastroenterology & Nutrition Associates, P.a.

Doing business as Advanced Gastroenterology & Surgery Associates

  • Gastroenterology Physician
  • Leesburg, FL
National Provider Identifier
1215974498
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
PROFESSIONAL GASTROENTEROLOGY & NUTRITION ASSOCIATES, P.A.
Doing business as
Advanced Gastroenterology & Surgery Associates
Practice address
8110 County Road 44 Leg a
Leesburg, FL 34788-3704
Phone
(352) 323-8868
Fax
(352) 323-8865
NPI assigned
May 31, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Lily C Tran, M.DNPI 1366494874
Title
Physician
Phone
(352) 323-8868

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 Physician 207RG0100X FL Primary

Addresses

Primary practice location

8110 County Road 44 Leg a
Leesburg, FL 34788-3704

Mailing address

8110 County Road 44 Leg a
Leesburg, FL 34788-3704
Phone (352) 323-8868

Other names 1

  • ADVANCED GASTROENTEROLOGY & SURGERY ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129000299 FL Part B Supplier - Clinic/Group Practice 1850294612 Receives reassigned benefits from 10 practitioners
Practice locations: Lady Lake, FL; Leesburg, FL

National Provider Directory

National Provider Directory

Locations

255 Citrus Tower Blvd
#208A
Clermont, FL 34711
Phone (352) 404-4334

13838 N US Highway 441
Ste 27
Lady Lake, FL 32159

26540 Ace Ave
#A
Leesburg, FL 34748
Phone (352) 323-8868

26540 Ace Ave
Ste 109A
Leesburg, FL 34748
Phone (352) 323-8868

8110 County Road 44 Leg A
Leesburg, FL 34788
Phone (352) 323-8868

913 E North Blvd
#B2
Leesburg, FL 34748
Phone (352) 323-8868

1400 N US Highway 441
#930
The Villages, FL 32159
Phone (352) 323-8868

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215974498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 COUNTY ROAD 44 LEG A",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883704",
            "telephone_number": "352-323-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 COUNTY ROAD 44 LEG A",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883704",
            "telephone_number": "352-323-8868",
            "fax_number": "352-323-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL GASTROENTEROLOGY & NUTRITION ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "LILY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-323-8868",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED GASTROENTEROLOGY & SURGERY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.