Gastroenterology Consultants of Augusta, PC
Organization Active NPI Gastroenterology Physician · Evans, GA
NPI 1508089137 · NPPES record last updated Nov 5, 2020
Key facts
- NPI
- 1508089137
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- Legal business name
- GASTROENTEROLOGY CONSULTANTS OF AUGUSTA, PC
- Practice address
- 393 N Belair Rd
Evans, GA 30809-3096 - Phone
- (706) 868-0104
- Fax
- (706) 650-7825
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Jeff Meyer
- Title
- Practice Administrator
- Phone
- (706) 868-0104
Other NPIs on the same Medicare enrollment 1
Practitioners 43
-
Matthew Shepard Cranford, M. D.
-
Stephan M Henson, PA
-
John Richard Hodges Jr., M. D.
-
Lawrence James Lahatte, M.D.
-
Claudius Silveira Matos, CRNA
-
Scott Thomas McNear, D.O.
-
Timothy Edwards Mecredy, M.D.
-
Matthew William Pantsari, M.D.
-
Warren Marcus Pitts Jr., D.O.
-
Randall John Schmidt, CRNA
-
Elizabeth H Skowronski, CRNA
-
Adam David Waller, M.D.
-
Stephen Paul Warren, NP-C
-
Katrina Lynette Cheek, CRNA
-
Misty Michelle Gibson, CRNA
-
Michele Lawhorn, CRNA
-
Alok Shrestha, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040506001129 | GA | Part B Supplier - Clinic/Group Practice | 4486643434 |
Receives reassigned benefits from 40 practitioners 1 other NPI on this enrollment Practice locations: Augusta, GA; Evans, GA |
National Provider Directory
Locations
393 N Belair Rd
Evans, GA 30809
Phone (706) 854-8934
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | Yes |
Addresses
Primary practice location
393 N Belair Rd
Evans, GA 30809-3096
Mailing address
393 N Belair Rd
Evans, GA 30809-3096
Phone (706) 868-0104
Other providers in Evans, GA
- G. David Volpitto, MD PC
- Saralyn Gamble
- Robert Clayton Gambrell
- Haley Gasaway
- Gastroenterology Consultants of Augusta, PC
- Sheree Hunt Gates
- Kristine Elizabeth Gaylor
- Rebecca Gaylor
- Beau Philip Gedrick
- Linda Geiger
All providers in Evans, GA · Gastroenterology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.