Unknown Individual – Gastroenterology Physician, NPI 1366584286
Gastroenterology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1269 Wellbrook Cir NE
Conyers, GA 300123873
Phone: (770) 922-0505
Fax: (770) 922-1870
Type: Location
1000 Cowles Clinc Way Bldg Ste A100
Greensboro, GA 306425285
Phone: (678) 625-5132
Type: Location
1740 Lions Club Rd
Madison, GA 306504762
Phone: (678) 625-5132
Type: Location
7229 WHEAT ST NE
COVINGTON, GA 300141566
Phone: (678) 625-5132
Fax: (678) 625-5137
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30012)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.