GASTROINTESTINAL SPECIALIST OF GEORGIA (NPI# 1801975339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801975339 |
| Entity Type | Organization |
| Organization Name | GASTROINTESTINAL SPECIALIST OF GEORGIA |
| Practice Address |
711 Canton Rd Ne Suite 300 Marietta GA 30060-8948 |
| Practice Telephone | 6787415000 |
| Practice Fax Number | 7709444522 |
| Mailing Telephone | 6787415000 |
| Mailing Fax Number | 7709444522 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2016-12-07 |
| Authorized Official Name | DR. ARIF AZIZ (MANAGING PARTNER) |
| Authorized Official Telephone | 6787412317 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 300031375A | 05 |
| Street Address |
711 CANTON RD NE SUITE 300 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-8948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538144613 | Arif A Aziz | Internal Medicine | 711 Canton Rd Ne, Suite 300, Marietta, GA 30060 | 2005-12-12 |
| 1346610573 | Kendra Denise Jones | Physician Assistant | 711 Canton Rd Ne, Suite 300, Marietta, GA 30060 | 2015-09-30 |
| 1306224779 | Monica Agrawal | Physician Assistant | 711 Canton Rd Ne, Suite 300, Marietta, GA 30060-8948 | 2015-05-18 |
| 1245628601 | Caroline Taylor Schmidtke | Physician Assistant | 711 Canton Rd Ne, Suite 300, Marietta, GA 30060-8948 | 2015-01-07 |
| 1821486523 | Isabell Juliane Wells | Physician Assistant | 711 Canton Rd Ne, Suite 300, Marietta, GA 30060-8948 | 2015-01-03 |
| 1265742191 | Northwest Georgia Anesthesia Associates, LLC | Anesthesiology | 711 Canton Rd Ne, Suite 300, Marietta, GA 30060-8948 | 2010-10-13 |
| 1811208408 | Elizabeth Anne Lintner | Specialist/Technologist, Other | 711 Canton Rd Ne, Suite 400, Marietta, GA 30060-8948 | 2010-06-29 |
| 1083801989 | Heidi R Meyer | Nurse Practitioner | 711 Canton Rd Ne, Suite 210, Marietta, GA 30060-8948 | 2007-09-25 |
| 1346453008 | Kennestone Neurology Associates, P.C. | Psychiatry & Neurology | 711 Canton Rd Ne, Suite 210, Marietta, GA 30060-8948 | 2007-05-08 |
| 1497871990 | Advanced Aesthetic Surgery | Surgery | 711 Canton Rd Ne, Suite 400, Marietta, GA 30060-8948 | 2007-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1225383797 | Muhammad Sohail Mansoor | Internal Medicine | 711 Canton Rd Ne Fl 3, Marietta, GA 30060-8948 | 2012-07-19 |
| 1821250267 | Shanil Lara Harkins | Internal Medicine | 3747 Roswell Rd Ste 314, Marietta, GA 30062 | 2008-06-26 |
| 1538144613 | Arif A Aziz | Internal Medicine | 711 Canton Rd Ne, Suite 300, Marietta, GA 30060 | 2005-12-12 |
| 1972588051 | Ross A Kommor | Internal Medicine | 711 Canton Rd Ne Ste 300, Marietta, GA 30060 | 2005-12-12 |
| 1720263809 | Charles Gregory Nesmith Jr. | Internal Medicine | 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-9409 | 2008-01-08 |
| 1134336332 | Basil S Al-awabdy | Internal Medicine | 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060 | 2007-05-17 |
| 1366462160 | Raja Shekhar Reddy Sappati Biyyani | Internal Medicine | 711 Canton Rd Ne, Suite 300, Marietta, GA 30060-8948 | 2006-07-21 |
| 1831118405 | Anna Virginia Longacre | Internal Medicine | 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-9409 | 2006-07-18 |
| 1952345258 | Mohammad A Wehbi | Internal Medicine | 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-9409 | 2006-06-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.