NPIMap

Organization Active NPI

Gi North PC

  • Gastroenterology Physician
  • Cumming, GA
National Provider Identifier
1750689964
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GI NORTH PC
Practice address
1505 Northside Blvd
Suite 1800
Cumming, GA 30041
Phone
(404) 446-0600
Fax
(404) 446-0601
NPI assigned
Mar 11, 2011
Last updated
Mar 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Simon Robert Cofrancesco, M.D.NPI 1396795241
Title
Owner/M.D.
Phone
(404) 446-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 062826 GA
Gastroenterology Physician 207RG0100X Primary
Anatomic Pathology Physician 207ZP0101X

Addresses

Primary practice location

1505 Northside Blvd
Suite 1800
Cumming, GA 30041

Mailing address

1505 Northside Blvd
Suite 1800
Cumming, GA 30041
Phone (404) 446-0600

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidGA
62826OtherGAMEDICAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Gi North2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1505 Northside Blvd
Ste 1800
Cumming, GA 30041
Phone (404) 446-0600

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1750689964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NORTHSIDE BLVD",
            "address_2": "SUITE 1800",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30041",
            "telephone_number": "404-446-0600",
            "fax_number": "404-446-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 NORTHSIDE BLVD",
            "address_2": "SUITE 1800",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30041",
            "telephone_number": "404-446-0600",
            "fax_number": "404-446-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI NORTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "COFRANCESCO",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "404-446-0600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "062826",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "62826",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.