Therapeutic Gi Associates, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

THERAPEUTIC GI ASSOCIATES, LLC

Practice address

3925 Peachtree Rd NE Ste 200
Brookhaven, GA 30319-2982

Phone

(770) 400-9186

Fax

(404) 909-8665

NPI assigned

Nov 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Edwin Woods, MD, MPHNPI 1851437065

Title

Physician

Phone

(770) 400-9186

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Edwin Woods, M.D., M.P.H

  • Gastroenterology Physician
  • Brookhaven, GA
  • NPI 1851437065

  GA, Gastroenterology

  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Shaw, MD

  • Gastroenterology Physician
  • Atlanta, GA
  • NPI 1750366332

  GA, Gastroenterology

  Medicare reassignment Care Compare group NPD
• Candice Glover, FNP-C

  • Family Nurse Practitioner
  • Brookhaven, GA
  • NPI 1609798891
  NPD (past)

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1477199347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98010",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303591710",
            "telephone_number": "770-400-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 PEACHTREE RD NE STE 200",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192982",
            "telephone_number": "770-400-9186",
            "fax_number": "404-909-8665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 W Spring St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "GA",
            "postal_code": "306553202",
            "country_code": "US",
            "telephone_number": "770-400-9186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPEUTIC GI ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-400-9186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Brookhaven, GA
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.