North Georgia Colon and Rectal Surgery, LLC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

015299 Issued in GA

Legal business name

NORTH GEORGIA COLON AND RECTAL SURGERY, LLC

Practice address

3890 Johns Creek Pkwy
Suite 320
Suwanee, GA 30024-1284

Phone

(678) 954-8538

NPI assigned

Jul 29, 2009

Last updated

Sep 25, 2013By 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

E Earl Pennington, MD

Title

Member

Phone

(678) 954-8538

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1255562948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 JOHNS CREEK PKWY",
            "address_2": "SUITE 320",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241284",
            "telephone_number": "678-954-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 JOHNS CREEK PKWY",
            "address_2": "SUITE 320",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241284",
            "telephone_number": "678-954-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA COLON AND RECTAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "678-954-8538",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "GA",
            "license": "015299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Colon & Rectal Surgery Physician in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Colon & Rectal Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.