Organization Active NPI

Umg Gastroenterology LLC

  • Gastroenterology Physician
  • Augusta, GA
National Provider Identifier
1922407162
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
UMG GASTROENTEROLOGY LLC
Practice address
820 Saint Sebastian Way Ste 2F
Augusta, GA 30901-2636
Phone
(706) 774-5790
Fax
(706) 774-5763
NPI assigned
Aug 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Dave Belkoski
Title
Cfo, VP
Phone
(706) 774-7263

Specialties & licenses 1

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

Addresses

Primary practice location

820 Saint Sebastian Way Ste 2F
Augusta, GA 30901-2636

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 774-7263

Other names 1

  • University Gastroenterology Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

820 Saint Sebastian Way
Ste 2F
Augusta, GA 30901
Phone (706) 722-2552

820 Saint Sebastian Way
Ste 4C
Augusta, GA 30901
Phone (706) 774-5997

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1922407162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-7263",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SAINT SEBASTIAN WAY STE 2F",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012636",
            "telephone_number": "706-774-5790",
            "fax_number": "706-774-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMG GASTROENTEROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "BELKOSKI",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CFO, VP",
        "authorized_official_telephone_number": "706-774-7263"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.