Gastroenterology Physician Services LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROENTEROLOGY PHYSICIAN SERVICES LLC

Practice address

2200 Hamilton Rd
Columbus, GA 31904-8855

Phone

(706) 655-8800

Fax

(706) 940-4764

NPI assigned

Apr 27, 2022

Last updated

Jun 6, 2022By 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

Shane B Darrah, MDNPI 1679557375

Title

Ceo

Phone

(706) 243-4500

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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.

• Humberto Jose Rios, MD

  • Gastroenterology Physician
  • Columbus, GA
  • NPI 1316439987
  Medicare reassignment Care Compare group NPD
• Daniel L Schoenborn, DO

  • Gastroenterology Physician
  • Columbus, GA
  • NPI 1326252503
  Medicare reassignment Care Compare group NPD
• Shane B Darrah, M.D.

  • Interventional Cardiology Physician
  • Columbus, GA
  • NPI 1679557375
  Authorized official Same address or phone

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1750025425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8629",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319088629",
            "telephone_number": "706-655-8800",
            "fax_number": "706-940-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HAMILTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048855",
            "telephone_number": "706-655-8800",
            "fax_number": "706-940-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "DARRAH",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-243-4500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyesha Renea Gary
• Alvin Gaskin
• Jenna Gaskins
• Wayne Paul Gasser, OD
• Alea Taylor Gassett
• Gastrointestinal Diseases, Inc.
• Jakasja Emoni Gates
• Gatewood Prosthetics Inc
• George Gatewood, CPO,CPED
• Gina Gatti

• Gastroenterology Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.