Gastroenterology Atlanta, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

008698 Issued in GA

Legal business name

GASTROENTEROLOGY ATLANTA, LLC

Practice address

2006 Macy Dr
Roswell, GA 30076-6346

Phone

(404) 257-0000

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

William D LydayNPI 1134103195

Title

Owner

Phone

(770) 400-6041

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• William D Lyday II, MD

  • Gastroenterology Physician
  • Roswell, GA
  • NPI 1134103195
  Medicare reassignment NPD Authorized official
• Charlotte A Barr

  • Family Nurse Practitioner
  • Georgetown, TX
  • NPI 1003551474

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1891737532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 BRECKINRIDGE BLVD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964979",
            "telephone_number": "678-226-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766346",
            "telephone_number": "404-257-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ATLANTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "LYDAY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-400-6041"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "008698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Autry Garrison, PH.D.
• James Douglas Garwacki, OT
• Kinsley Garwood
• Devorah Gastfreund
• Gastric Health Institute, LLC
• Gastroenterology Consultants,PC
• Monica Gatlin, RD
• John Gatto, MD
• Deborah Gaultney
• Allison Buterbaugh Gay, MD

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

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