Gastroenterology Center of West Georgia PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GASTROENTEROLOGY CENTER OF WEST GEORGIA PC

Practice address

1551 Doctors Dr
Lagrange, GA 30240-4139

Phone

(703) 684-5771

Fax

(706) 882-1620

NPI assigned

Sep 16, 2005

Last updated

Jan 20, 2011By 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

John Robert Coggins VII, M.D.

Title

President

Phone

(706) 845-7711

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1265427041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 DOCTORS DR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404139",
            "telephone_number": "706-845-7711",
            "fax_number": "706-882-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 DOCTORS DR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404139",
            "telephone_number": "703-684-5771",
            "fax_number": "706-882-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CENTER OF WEST GEORGIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "COGGINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-845-7711",
        "authorized_official_name_suffix": "VII",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Freeman, M.D.
• Laura Garrard Fuller, APRN
• Jill Garcia
• Mariana Garcia
• Stephanie Alejandra Garcia
• Anthony Gatens
• Marquita Gates
• Tiffany Gates
• Catherine Gayle, PHD LCSW
• Alexander T Gedevanishvili, M.D.

• Specialist in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.