Organization Active NPI

Gastrointestinal Specialist of Georgia

  • Gastroenterology Physician
  • Marietta, GA
National Provider Identifier
1801975339
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROINTESTINAL SPECIALIST OF GEORGIA
Practice address
711 Canton Rd NE
Suite 300
Marietta, GA 30060-8948
Phone
(678) 741-5000
Fax
(770) 944-4522
NPI assigned
Nov 3, 2006
Last updated
Dec 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Dr. Arif Aziz, MDNPI 1538144613
Title
Managing Partner
Phone
(678) 741-2317

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X GA Primary

Addresses

Primary practice location

711 Canton Rd NE
Suite 300
Marietta, GA 30060-8948

Mailing address

711 Canton Rd NE
Suite 300
Marietta, GA 30060-8948
Phone (678) 741-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040206000897 GA Part B Supplier - Clinic/Group Practice 9335032820 Receives reassigned benefits from 54 practitioners
Practice locations: Woodstock, GA; Roswell, GA; Marietta, GA; Lithia Springs, GA; Hiram, GA; Douglasville, GA; Canton, GA; Acworth, GA

National Provider Directory

National Provider Directory

Locations

4550 Cobb Parkway North NW
Ste 2
Acworth, GA 30101

4550 Cobb Parkway North NW
Ste 201B
Acworth, GA 30101
Phone (770) 917-8160

4550 Cobb Parkway North NW
Ste 214
Acworth, GA 30101

4900 Ivey Rd NW
Bldg 1000
Acworth, GA 30101
Phone (770) 429-0031

4900 Ivey Rd NW
Ste 1205
Acworth, GA 30101
Phone (770) 793-9750

4900 Ivey Rd NW
Ste 150
Acworth, GA 30101

13 Reinhardt College Pkwy
#20
Canton, GA 30114

6001 Professional Pkwy
Ste 2060
Douglasville, GA 30134
Phone (770) 739-9555

148 Bill Carruth Pkwy
Ste 200
Hiram, GA 30141

1121 Johnson Ferry Rd
Bldg 2
Marietta, GA 30068

3834 Austell Rd SW
Ste A
Marietta, GA 30008

61 Whitcher St NE
#3100
Marietta, GA 30060

2500 Hospital Blvd
Ste 350
Roswell, GA 30076

4441 Atlanta Rd SE
Ste 204
Smyrna, GA 30080
Phone (470) 267-1760

118 Mill St
Woodstock, GA 30188

Practitioners & affiliated clinicians

Practitioners 64

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 64

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1801975339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 CANTON RD NE",
            "address_2": "SUITE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608948",
            "telephone_number": "678-741-5000",
            "fax_number": "770-944-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 CANTON RD NE",
            "address_2": "SUITE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608948",
            "telephone_number": "678-741-5000",
            "fax_number": "770-944-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROINTESTINAL SPECIALIST OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "ARIF",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "678-741-2317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.