Active NPI
Southern Gastroenterology Specialists, P.C
- Specialist
- Locust Grove, GA
National Provider Identifier
1952405052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SOUTHERN GASTROENTEROLOGY SPECIALISTS, P.C
- Practice address
- 4865 Bill Gardner Pkwy
Locust Grove, GA 30248-3644 - Phone
- (770) 692-0100
- NPI assigned
- Sep 11, 2006
- Last updated
- Nov 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aruna R Prakash, B.SC
- Title
- Secretory
- Phone
- (770) 692-0100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
4865 Bill Gardner Pkwy
Locust Grove, GA 30248-3644
Mailing address
4865 Bill Gardner Pkwy
Locust Grove, GA 30248-3644
Phone (770) 692-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
747 S 8th St
Ste B1
Griffin, GA 30224
Phone (770) 692-0100
6555 Professional Pl
Ste C
Riverdale, GA 30274
Phone (770) 692-0100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GDFJAD
Practitioners & affiliated clinicians
Practitioners 16
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.
-
- Gastroenterology Physician
- Locust Grove, GA
- NPI 1255906079
-
- Gastroenterology Physician
- Milledgeville, GA
- NPI 1194755728
-
- Nurse Practitioner
- Riverdale, GA
- NPI 1699790741
-
- Anatomic Pathology & Clinical Pathology Physician
- Burlington, MA
- NPI 1073791877
GA
-
- Gastroenterology Physician
- Locust Grove, GA
- NPI 1205021482
-
- Gastroenterology Physician
- Riverdale, GA
- NPI 1003846635
-
- Anatomic Pathology & Clinical Pathology Physician
- Atlanta, GA
- NPI 1497930010
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1467622779
-
- Gastroenterology Physician
- Covington, GA
- NPI 1942303276
-
- Gastroenterology Physician
- Covington, GA
- NPI 1467489120
-
- Anatomic Pathology & Clinical Pathology Physician
- East Point, GA
- NPI 1508829375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289520000000",
"number": "1952405052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4865 BILL GARDNER PKWY",
"city": "LOCUST GROVE",
"state": "GA",
"postal_code": "302483644",
"telephone_number": "770-692-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4865 BILL GARDNER PKWY",
"city": "LOCUST GROVE",
"state": "GA",
"postal_code": "302483644",
"telephone_number": "770-692-0100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN GASTROENTEROLOGY SPECIALISTS, P.C",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-11",
"last_updated": "2010-11-12",
"status": "A",
"authorized_official_last_name": "PRAKASH",
"authorized_official_first_name": "ARUNA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "SECRETORY",
"authorized_official_telephone_number": "770-692-0100",
"authorized_official_credential": "B.SC"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Locust Grove, GA
- Monica Mone' Smith, DPT
- Randall C Smith, RPH
- Shanay Francine Smith, FNP
- South Atlanta Lactation Consulting, LLC
- South Metro Anesthesia Associates, LLC
- Southern Oaks Healthcare Services, Inc.
- Southern Surgical & Medical,Inc.
- Southwest Medical Transportation,Inc.
- Spalding Regional Urgent Care Center at Heron Bay, L.L.C. (Urgent Care at Heron Bay)
- Kristopher Spears
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.