MIDDLE GEORGIA GASTROENTEROLOGY NPI 1689885253

NPI Information

  • NPI: 1689885253
  • Provider Name: MIDDLE GEORGIA GASTROENTEROLOGY
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 791 POPLAR ST
    MACON, GA
    ZIP 31201
  • Phone: (478) 755-0800

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NPI Details

MIDDLE GEORGIA GASTROENTEROLOGY is a specialist in Macon, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MIDDLE GEORGIA GASTROENTEROLOGY NPI is 1689885253. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

791 POPLAR ST
MACON, GA
ZIP 31201-045
Phone: (478) 755-0800
Fax: (478) 755-0807

The provider's authorized official is Carley S Ebanks .
The authorized official title is President and has the following contact phone number (478) 755-0800.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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