Central Ga Center for Digestive Health

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

038543 Issued in GA

Legal business name

CENTRAL GA CENTER FOR DIGESTIVE HEALTH

Practice address

6501 Peake Rd
BLDG 900
Macon, GA 31210-8042

Phone

(478) 474-4199

Fax

(478) 471-1221

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Brenda G Cooper, MDNPI 1629073978

Title

President

Phone

(478) 474-4199

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Brenda Gail Cooper, MD

  • Gastroenterology Physician
  • Macon, GA
  • NPI 1629073978
  NPD (past) Authorized official
• William Keith Fackler, MD

  • Gastroenterology Physician
  • Macon, GA
  • NPI 1245236082
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1831216183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 PEAKE RD",
            "address_2": "BLDG 900",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108042",
            "telephone_number": "478-474-4199",
            "fax_number": "478-471-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 PEAKE RD",
            "address_2": "BLDG 900",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108042",
            "telephone_number": "478-474-4199",
            "fax_number": "478-471-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL GA CENTER FOR DIGESTIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-474-4199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "038543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Cawley, CCC-SLP
• CCBH Psychiatric Hospitalists, LLC
• CDG Transpo
• Center for Psychiatric Care PC
• Central City AIDS Network, Inc. (The Rainbow Center)
• Central Ga Head &Neck Surgery Center
• Central Ga Women's Health Center 2 LLC
• Central Georgia Adult Day Health & Rehab, Inc (Sunrise Homecare Services)
• Central Georgia Cancer Care (Central Ga Cancer Care)
• Central Georgia Cancer Care

• Gastroenterology Physician in Macon, GA
• Providers in Macon, 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 11, 2007; 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.