Access Gastroenterolgy, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

060450 Issued in GA

Legal business name

ACCESS GASTROENTEROLGY, INC.

Practice address

1601 Fair Rd Suite 500
Statesboro, GA 30438

Phone

(912) 871-3777

Fax

(912) 871-3677

NPI assigned

Aug 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Dorvilus, MD

Title

Phyisican

Phone

(912) 871-3777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508457600000",
    "number": "1336572049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 FAIR RD SUITE 500",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-871-3777",
            "fax_number": "912-871-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 FAIR RD SUITE 500",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30438",
            "telephone_number": "912-871-3777",
            "fax_number": "912-871-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS GASTROENTEROLGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2017-10-20",
        "status": "A",
        "authorized_official_last_name": "DORVILUS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PHYISICAN",
        "authorized_official_telephone_number": "912-871-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "060450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003104036E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.