ACCESS GASTROENTEROLGY, INC. – NPI #1336572049
Specialist

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.

Health Care Provider Taxonomy Code for Specialist

ACCESS GASTROENTEROLGY, INC. is a specialist located in STATESBORO, GA. NPPES has assigned the NPI number 1336572049 to ACCESS GASTROENTEROLGY, INC. on August 16, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 174400000X from the Health Care Provider Taxonomy code set, which is classified as Specialist.

The NPI profile was previously updated about 9 years ago on Oct 20, 2017. See the complete NPI profile for ACCESS GASTROENTEROLGY, INC. below.

NPI Profile for
ACCESS GASTROENTEROLGY, INC.

NPI Number
1336572049
Enumeration Date

(about 13 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
ACCESS GASTROENTEROLGY, INC.
Primary location
1601 FAIR RD SUITE 500
STATESBORO, GA 30438
Phone: (912) 871-3777 Fax: (912) 871-3677
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PATRICK DORVILUS
PHYISICAN
Phone: (912) 871-3777
Updated
Identifiers

Identifiers for ACCESS GASTROENTEROLGY, INC.

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
MEDICAIDGA003104036E
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
174400000X
- Specialist (Primary)		 GA 060450

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.