Advanced Gastroenterology Group

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

030681 Issued in GA

Legal business name

ADVANCED GASTROENTEROLOGY GROUP

Doing business as

Advanced Gastroenterology Group

Practice address

4595 Towne Lake Pkwy
BLDG 300, Suite 200
Woodstock, GA 30189-5514

Phone

(770) 509-0089

Fax

(678) 888-0642

NPI assigned

Jun 23, 2006

Last updated

Apr 30, 2008By 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

Mrs. Sharon E Jackson

Title

Office Manager

Phone

(770) 509-0089

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ADVANCED GASTROENTEROLOGY GROUP Doing business as

Locations

Practitioners 1

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.

• Jon Vincent Trankina, MD

  • Gastroenterology Physician
  • Woodstock, GA
  • NPI 1447206164
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1386670404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4595 TOWNE LAKE PKWY",
            "address_2": "BLDG 300, SUITE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895514",
            "telephone_number": "770-509-0089",
            "fax_number": "678-888-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4595 TOWNE LAKE PKWY",
            "address_2": "BLDG 300, SUITE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895514",
            "telephone_number": "770-509-0089",
            "fax_number": "678-888-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED GASTROENTEROLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-509-0089",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "GA",
            "license": "030681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1447206164",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED GASTROENTEROLOGY GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Leigh Adams, M.ED., CCC-SLP
• Alicia Adamson Ogletree, LPC
• Celeste Grace Adote, DT
• Advanced Behavioral Dimensions
• Advanced Dental Imaging Center
• Advanced Health Solutions, LLC
• Advanced Pain & Spine Center
• Advanced Therapy Solutions
• Advent Counseling and Training (acts)
• Aegis Group Practice LLC

• Exclusive Provider Organization in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Exclusive Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.