ADVANCED GASTROENTEROLOGY GROUP – NPI #1386670404
Exclusive Provider Organization

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Health Care Provider Taxonomy Code for Exclusive Provider Organization

ADVANCED GASTROENTEROLOGY GROUP is an exclusive provider organization located in WOODSTOCK, GA. NPPES has assigned the NPI number 1386670404 to ADVANCED GASTROENTEROLOGY GROUP on June 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 302F00000X from the Health Care Provider Taxonomy code set, which is classified as Exclusive Provider Organization.

The NPI profile was previously updated about 18 years ago on Apr 30, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED GASTROENTEROLOGY GROUP below.

NPI Profile for
ADVANCED GASTROENTEROLOGY GROUP

NPI Number
1386670404
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED GASTROENTEROLOGY GROUP
Doing Business As (dba): ADVANCED GASTROENTEROLOGY GROUP
Primary location
4595 TOWNE LAKE PKWY
BLDG 300, SUITE 200
WOODSTOCK, GA 30189-5514
Phone: (770) 509-0089 Fax: (678) 888-0642
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHARON JACKSON
OFFICE MANAGER
Phone: (770) 509-0089
Updated
Identifiers

Identifiers for ADVANCED GASTROENTEROLOGY GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPI #GA1447206164
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
302F00000X
- Exclusive Provider Organization (Primary)		 GA 030681

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.