Individual provider Active NPI

George M Cibik, M.D.

  • Gastroenterology Physician
  • Atlanta, GA
National Provider Identifier
1407863707
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
021487 Issued in GA
Practice address
6300 Powers Ferry Rd NW Ste 600-334
Atlanta, GA 30339-2919
Phone
(770) 862-0557
Fax
(770) 951-5641
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 021487 GA Primary

Addresses

Primary practice location

6300 Powers Ferry Rd NW Ste 600-334
Atlanta, GA 30339-2919

Mailing address

6300 Powers Ferry Rd NW Ste 600-334
Atlanta, GA 30339-2919
Phone (770) 862-0557

Other identifiers 1

IdentifierTypeStateIssuer
00214519FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021487GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John T. Horney M.D., P.C. Gastroenterology Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1407863707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 POWERS FERRY RD NW STE 600-334",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392919",
            "telephone_number": "770-862-0557",
            "fax_number": "770-951-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 POWERS FERRY RD NW STE 600-334",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392919",
            "telephone_number": "770-862-0557",
            "fax_number": "770-951-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIBIK",
        "first_name": "GEORGE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "021487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00214519F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.