Active NPI
Athens Gastroenterology Center,PC
- Specialist
- Athens, GA
National Provider Identifier
1225237191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 047532
- Legal business name
- ATHENS GASTROENTEROLOGY CENTER,PC
- Practice address
- 21 Jefferson PL Ste 1
Athens, GA 30601-1761 - Phone
- (706) 548-0058
- Fax
- (706) 548-0555
- NPI assigned
- Jul 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory Scott Smith, M.D.
- Title
- Medical Doctor
- Phone
- (706) 548-0058
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 047532 | GA | Primary |
Addresses
Primary practice location
21 Jefferson PL Ste 1
Athens, GA 30601-1761
Mailing address
21 Jefferson PL Ste 1
Athens, GA 30601-1761
Phone (706) 548-0058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000817099C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041206000660 | GA | Part B Supplier - Clinic/Group Practice | 9537125133 |
Receives reassigned benefits from 2 practitioners Practice locations: Athens, GA |
National Provider Directory
National Provider DirectoryLocations
21 Jefferson Pl
Ste 2
Athens, GA 30601
Phone (706) 433-0788
Practitioners & affiliated clinicians
Practitioners 2
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": "1184198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770336000000",
"number": "1225237191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 JEFFERSON PL STE 1",
"city": "ATHENS",
"state": "GA",
"postal_code": "306011761",
"telephone_number": "706-548-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 JEFFERSON PL STE 1",
"city": "ATHENS",
"state": "GA",
"postal_code": "306011761",
"telephone_number": "706-548-0058",
"fax_number": "706-548-0555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHENS GASTROENTEROLOGY CENTER,PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-12",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "706-548-0058",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "GA",
"license": "047532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000817099C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
- Athens Family Medicine
- Athens Family Medicine LLC
- Athens Free Clinic
- Athens Ga Homecare, LLC
- Athens Gastroenterology Association
- Athens Gastroenterology Endoscopy Center Inc
- Athens General & Colorectal Surgeons, PC
- Athens Geriatrics and Internal Medicine, PC
- Athens Gynecology PC
- Athens Hand Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.