| Gastrointestinal Specialist Of Georgia | |
|
711 Canton Rd Ne Suite 300 Marietta GA 30060-8948 | |
| (678) 741-5000 | |
| (770) 944-4522 |
| Full Name | Gastrointestinal Specialist Of Georgia |
|---|---|
| Speciality | Internal Medicine |
| Location | 711 Canton Rd Ne, Marietta, Georgia |
| Authorized Official Name and Position | Arif Aziz (MANAGING PARTNER) |
| Authorized Official Contact | 6787412317 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrointestinal Specialist Of Georgia 711 Canton Rd Ne Suite 300 Marietta GA 30060-8948 Ph: (678) 741-5000 | Gastrointestinal Specialist Of Georgia 711 Canton Rd Ne Suite 300 Marietta GA 30060-8948 Ph: (678) 741-5000 |
| NPI Number | 1801975339 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 12/07/2016 |
| Medicare PECOS PAC ID | 9335032820 |
|---|---|
| Medicare Enrollment ID | O20040206000897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801975339 | NPI | - | NPPES |
| 300031375A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Georgia) | Primary |
| Provider Name | Priti Pandya |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316910615 PECOS PAC ID: 2860386224 Enrollment ID: I20040209000595 |
| Provider Name | Dwight A Kingry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386649937 PECOS PAC ID: 2365431053 Enrollment ID: I20040507001282 |
| Provider Name | Suku George |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619952777 PECOS PAC ID: 2860481488 Enrollment ID: I20040510000493 |
| Provider Name | Brent H Suddeth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063480457 PECOS PAC ID: 2567441405 Enrollment ID: I20040715000385 |
| Provider Name | Anish A Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437122710 PECOS PAC ID: 1557332350 Enrollment ID: I20040804001365 |
| Provider Name | Sachin Goel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922071208 PECOS PAC ID: 5092753566 Enrollment ID: I20050425000677 |
| Provider Name | Jeffrey L Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275506560 PECOS PAC ID: 1355370404 Enrollment ID: I20050809000352 |
| Provider Name | Dale L Haynes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679545974 PECOS PAC ID: 0840209433 Enrollment ID: I20060410000409 |
| Provider Name | Aasim M Sheikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841249133 PECOS PAC ID: 2567473473 Enrollment ID: I20060508000000 |
| Provider Name | Ritesh Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720037021 PECOS PAC ID: 4880606318 Enrollment ID: I20060626000177 |
| Provider Name | Norlene Foster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790878056 PECOS PAC ID: 4486652963 Enrollment ID: I20061116000310 |
| Provider Name | Judy Oh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184840589 PECOS PAC ID: 5395836167 Enrollment ID: I20070808000413 |
| Provider Name | Anuj P Manocha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285607580 PECOS PAC ID: 9133143068 Enrollment ID: I20071012000057 |
| Provider Name | Francisco J Cardenas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669445938 PECOS PAC ID: 4688698517 Enrollment ID: I20071012000123 |
| Provider Name | John Sexton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649345992 PECOS PAC ID: 1557461027 Enrollment ID: I20071018000207 |
| Provider Name | Ross A Kommor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972588051 PECOS PAC ID: 9638279987 Enrollment ID: I20080125000017 |
| Provider Name | Michelle M Lovett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821112525 PECOS PAC ID: 2567426828 Enrollment ID: I20080421000202 |
| Provider Name | Ruby Blaza Bhavani |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548409253 PECOS PAC ID: 5193874394 Enrollment ID: I20090519000026 |
| Provider Name | Sohail Asfandiyar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477762888 PECOS PAC ID: 2365476538 Enrollment ID: I20090707000033 |
| Provider Name | Karim Gani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821070830 PECOS PAC ID: 0749366094 Enrollment ID: I20090727000471 |
| Provider Name | Madhuri M Meka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023283751 PECOS PAC ID: 3173679891 Enrollment ID: I20090922000638 |
| Provider Name | Michael J Grupka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497953467 PECOS PAC ID: 3274670583 Enrollment ID: I20091019000516 |
| Provider Name | Lindsay N Amell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396701314 PECOS PAC ID: 7618986217 Enrollment ID: I20100208000193 |
| Provider Name | Tanika M Oglesby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881928232 PECOS PAC ID: 5294875431 Enrollment ID: I20100315000727 |
| Provider Name | Donna M Sieber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396067534 PECOS PAC ID: 2264560267 Enrollment ID: I20100512000907 |
| Provider Name | Carla D Porche |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255309639 PECOS PAC ID: 2961528930 Enrollment ID: I20100928000006 |
| Provider Name | Katina J Currin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184933939 PECOS PAC ID: 5698962306 Enrollment ID: I20101207001129 |
| Provider Name | Subodh Lal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699748988 PECOS PAC ID: 8224052154 Enrollment ID: I20101208000044 |
| Provider Name | Gina M Gatti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528371481 PECOS PAC ID: 8729274527 Enrollment ID: I20101216000547 |
| Provider Name | Latoya Leigh Wise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831456284 PECOS PAC ID: 3577727031 Enrollment ID: I20120613000166 |
| Provider Name | Mary D Kinsella |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205010790 PECOS PAC ID: 0840456802 Enrollment ID: I20120720000025 |
| Provider Name | Jennifer M Shlesinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740528736 PECOS PAC ID: 0042465692 Enrollment ID: I20130305000136 |
| Provider Name | Walter J Tartt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831116854 PECOS PAC ID: 1355516659 Enrollment ID: I20130315000416 |
| Provider Name | Raja Shekhar Reddy Sappati Biyyani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366462160 PECOS PAC ID: 4880607241 Enrollment ID: I20130617000568 |
| Provider Name | Shanil Lara Harkins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821250267 PECOS PAC ID: 7214153238 Enrollment ID: I20140729001026 |
| Provider Name | Aaron J Leifer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295085686 PECOS PAC ID: 5799094686 Enrollment ID: I20151015000813 |
| Provider Name | Kaylin Wells Baugh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457748014 PECOS PAC ID: 3072823707 Enrollment ID: I20160907003059 |
| Provider Name | Kunjal B Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235438607 PECOS PAC ID: 0042469967 Enrollment ID: I20171003007441 |
| Provider Name | Akit Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225268071 PECOS PAC ID: 6507156833 Enrollment ID: I20171004003294 |
| Provider Name | Anna-marie Tharp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851780449 PECOS PAC ID: 7517283732 Enrollment ID: I20190911001783 |
| Provider Name | Valerie Marie Wellman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902421787 PECOS PAC ID: 4082038930 Enrollment ID: I20200723003771 |
| Provider Name | Jessica Ginn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891010385 PECOS PAC ID: 7719018605 Enrollment ID: I20200812003824 |
| Provider Name | Muhammad Sohail Mansoor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225383797 PECOS PAC ID: 4082830245 Enrollment ID: I20200915003630 |
| Provider Name | Umangi Harshad Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649415951 PECOS PAC ID: 1850690140 Enrollment ID: I20210113001850 |
| Provider Name | Shawn A Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285808618 PECOS PAC ID: 0941437115 Enrollment ID: I20210916000917 |
| Provider Name | Swaroop Pendyala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114235124 PECOS PAC ID: 4789832213 Enrollment ID: I20221220002438 |
| Provider Name | Alison E Marjanovic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053413922 PECOS PAC ID: 6709845993 Enrollment ID: I20230111002750 |
Proactive Physicians Of Marietta, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 790 Church St Ne, Suite 220, Marietta, GA 30060 Phone: 678-753-9300 Fax: 678-753-9300 | |
Benchmark Pt Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1205 Johnson Ferry Rd Ste 130, Marietta, GA 30068 Phone: 770-565-3201 Fax: 770-565-3203 | |
Premise Health Of Georgia Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 86 South Cobb Drive Mail Drop 0454, Marietta, GA 30063 Phone: 770-494-4131 Fax: 770-494-7490 | |
Clifford Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1355 Church Street Ext Ne Ste G, Marietta, GA 30060 Phone: 678-388-1355 Fax: 770-422-1416 | |
Saint Joseph's Mercy Care Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1407 Cobb Parkway Nw, Marietta, GA 30060 Phone: 678-843-8600 | |
Wellstar East Cobb Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Johnson Ferry Rd, Marietta, GA 30068 Phone: 770-579-7900 Fax: 770-579-7962 | |
H&h Weight Loss Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 Dallas Hwy Sw Ste 210, Marietta, GA 30064 Phone: 770-628-5633 |