Johns Creek Gastroenterology PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

035800 Issued in GA

Legal business name

JOHNS CREEK GASTROENTEROLOGY PC

Practice address

1100 Northside Forsyth Dr
Suite 330
Cumming, GA 30041-6020

Phone

(770) 889-9901

Fax

(770) 889-9088

NPI assigned

Dec 19, 2007

Last updated

Dec 19, 2007By 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

Clive Albert, M.D.NPI 1821099987

Title

Owner

Phone

(770) 889-9901

Specialties & licenses 1

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.

• Clive Albert, MD

  • Gastroenterology Physician
  • Cumming, GA
  • NPI 1821099987
  Medicare reassignment Care Compare group NPD Authorized official
• Kellie Cain Henderson, NP-C

  • Family Nurse Practitioner
  • Cumming, GA
  • NPI 1720459621
  Medicare reassignment Care Compare group NPD
• Anna Mirinda Childers, FNP-C

  • Family Nurse Practitioner
  • Columbus, GA
  • NPI 1972946523
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1821272345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NORTHSIDE FORSYTH DR",
            "address_2": "SUITE 330",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416020",
            "telephone_number": "770-889-9901",
            "fax_number": "770-889-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NORTHSIDE FORSYTH DR",
            "address_2": "SUITE 330",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416020",
            "telephone_number": "770-889-9901",
            "fax_number": "770-889-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS CREEK GASTROENTEROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "CLIVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-889-9901",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "035800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navneet Johal, NURSE PRACTITIONER
• John C Snyder OD LLC
• Cemi-Leila John, RBT
• Emily Cynthia John, PHARM.D.
• Shiny John
• Gary Johns, D.C
• Brandi Nicole Johnson, PA-C
• Halle Johnson
• Kevin Johnston, RPH
• Robert M Joiner, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.