Provider Type Icon

GASTRO SOUTH LLC NPI 1790440204


NPI Information

NPI: 1790440204
Provider Name: GASTRO SOUTH, LLC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
240 SHERATON BLVD
MACON, GA
ZIP 31210
Phone: (706) 495-5718
Get Directions

GASTRO SOUTH, LLC is a gastroenterology internal medicine in Macon, GA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. GASTRO SOUTH, LLC NPI is 1790440204. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

240 SHERATON BLVD
MACON, GA
ZIP 31210-358
Phone: (706) 495-5718

The provider's authorized official is Joel Judah .
The authorized official title is Managing Member and has the following contact phone number (706) 495-5718.

The enumeration date for this NPI number is 11/1/2021 and was last updated on 11/1/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.