Gastroenterology & Hepatology Consultants, PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

200000347 Issued in NC

Legal business name

GASTROENTEROLOGY & HEPATOLOGY CONSULTANTS, PA

Practice address

10540 Ligon Mill Rd Ste 109
Wake Forest, NC 27587-6090

Phone

(919) 554-6253

Fax

(919) 554-3777

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Sue Denton

Title

Billing Dept

Phone

(919) 496-2745

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Ghassan Al-Sabbagh, MD

  • Gastroenterology Physician
  • Wake Forest, NC
  • NPI 1487617858
  Medicare reassignment NPD

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1801095641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 LIGON MILL RD STE 109",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876090",
            "telephone_number": "919-554-6253",
            "fax_number": "919-554-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 LIGON MILL RD STE 109",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876090",
            "telephone_number": "919-554-6253",
            "fax_number": "919-554-3777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 N Bickett Blvd",
            "address_purpose": "LOCATION",
            "city": "Louisburg",
            "state": "NC",
            "postal_code": "27549",
            "country_code": "US",
            "telephone_number": "919-496-2745",
            "fax_number": "919-496-3888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GASTROENTEROLOGY & HEPATOLOGY CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "BILLING DEPT",
        "authorized_official_telephone_number": "919-496-2745"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "200000347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "2280357",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "019TW",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908654",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ganglani Wake Forest PLLC
• Cameron Yessenia Garcia
• Austin John Gardner, PT, DPT
• Robert W Gardner, M.D.
• Valarie Tucker Gardner, MSW, LCSW
• Gastroenterology & Hepatology Consultants, PA
• Floleshia Gates
• Brian Gentile
• George Mani, DDS, PA
• Stuart Rutledge German, P.A.

• Gastroenterology Physician in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Gastroenterology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.