Active NPI
Sohail A Choudhri, M.D.
- Gastroenterology Physician
- Waycross, GA
National Provider Identifier
1407960289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036514
- Practice address
- 1501 Alice St
Waycross, GA 31501-4530 - Phone
- (912) 285-0877
- Fax
- (912) 287-0387
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036514 | GA | Primary |
Addresses
Primary practice location
1501 Alice St
Waycross, GA 31501-4530
Mailing address
1501 Alice St
Waycross, GA 31501-4530
Phone (912) 285-0877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00539459A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 Alice St
Waycross, GA 31501-4530
Phone (912) 285-0877
Hospital & facility affiliations
- Memorial Satilla Health
- Bacon County Hospital
- Southeast Georgia Health System- Brunswick Campus
- Wayne Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 409 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 333 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Disease Consultants, P.C. | Gastroenterology | Current | Accepting new patients |
| South Georgia Endoscopy Center, Inc | Past | Accepting new patients | |
| Okefenokee Anesthesia Company LLC | Past | Accepting new patients |
Locations
1501 Alice St
Waycross, GA 31501
Phone (844) 469-4936
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CAFBBA
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Waycross, GA
- NPI 1619081429
-
- Certified Registered Nurse Anesthetist
- Waycross, GA
- NPI 1538403324
-
- Ambulatory Surgical Clinic/Center
- Waycross, GA
- NPI 1841304797
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Alma, GA
- NPI 1629185285
-
- General Acute Care Hospital
- Jesup, GA
- NPI 1770578999
-
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
-
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1407960289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 ALICE ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014530",
"telephone_number": "912-285-0877",
"fax_number": "912-287-0387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 ALICE ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014530",
"telephone_number": "912-285-0877",
"fax_number": "912-287-0387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOUDHRI",
"first_name": "SOHAIL",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "036514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00539459A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.