ACCESS GASTROENTEROLGY, INC. (NPI# 1336572049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336572049 |
| Entity Type | Organization |
| Organization Name | ACCESS GASTROENTEROLGY, INC. |
| Practice Address |
1601 Fair Rd Suite 500 Statesboro GA 30438 |
| Mailing Address |
1601 Fair Rd Suite 500 Statesboro GA 30458 |
| Practice Telephone | 9128713777 |
| Practice Fax Number | 9128713677 |
| Mailing Telephone | 9128713777 |
| Mailing Fax Number | 9128713677 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2017-10-20 |
| Authorized Official Name | DR. PATRICK DORVILUS (PHYISICAN) |
| Authorized Official Telephone | 9128713777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 060450 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003104036E | 05 |
| Street Address |
1601 FAIR RD SUITE 500 |
| City | STATESBORO |
| State | GA |
| Zip Code | 30438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646175 | Heather Petty | Behavior Technician | 1924 Edenfield Ln, Statesboro, GA 30461-7222 | 2020-10-14 |
| 1982217188 | Nikita Robinson | Counselor | 108b Nature Way, Statesboro, GA 30458-0501 | 2020-08-26 |
| 1093327462 | Lauryn Ashleigh Metzdorf | Student in an Organized Health Care Education/Training Program | 816 S Main St Apt 164, Statesboro, GA 30458-3476 | 2020-08-18 |
| 1891306437 | Tinasia Smalls | Specialist/Technologist | 100 Woodland Dr Apt 1416, Statesboro, GA 30458-6365 | 2020-08-16 |
| 1568073203 | Kristen Noel Dickens | Counselor | 326 Myrtle Crossing Dr Ste 200, Statesboro, GA 30458-4689 | 2020-08-15 |
| 1679191944 | Angela Landers | Counselor | 303 Palomino Path, Statesboro, GA 30458-9703 | 2020-07-13 |
| 1013535657 | Statesboro Medical Group, LLC | Clinic/Center | 1176 Brampton Ave, Statesboro, GA 30458-0847 | 2020-07-09 |
| 1962020057 | Shantera Clark | Nurse Practitioner | 630 Ogeechee Dr W, Statesboro, GA 30461-6753 | 2020-07-06 |
| 1053936146 | Rachel Lauren Binkley | Dietitian, Registered | 350 Rucker Ln # 257, Statesboro, GA 30458-3241 | 2020-06-15 |
| 1407471741 | Jared Jerel Weaver | Contractor | 210 Foxlake Dr, Statesboro, GA 30458-4400 | 2020-06-12 |
| Find all providers in STATESBORO | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477992725 | Orthopedic Center PC | Specialist | 16915 Highway 67 South Suite A, Statesboro, GA 30458 | 2013-06-20 |
| 1295999795 | East Georgia Pediatrics | Specialist | 715 Northside Dr E, Suite 5 Pmb 398, Statesboro, GA 30458-4712 | 2008-07-14 |
| 1215149497 | A. Deo Klein, M.d., P.C. | Specialist | 1161 Sarahlyn Lane, Ste. A, Statesboro, GA 30461 | 2007-05-03 |
| 1235266800 | Savannah Allergy Associates, P.C. | Specialist | 4 Bulloch St, Statesboro, GA 30458-0731 | 2007-02-28 |
| 1770670259 | Catherine K Dickens | Specialist | 0404 Forrest Dr, Georgia Southern University Health Services, Statesboro, GA 30460-0001 | 2006-10-06 |
| 1750488011 | East Ga Regional Eye Center | Specialist | 21 N Zetterower Ave, Statesboro, GA 30458-7142 | 2006-09-20 |
| 1639287949 | Donald Graham | Specialist | 1211 Merchants Way, Suite 401, Statesboro, GA 30458-0867 | 2006-08-27 |
| 1063443810 | David Hale Weems | Specialist | 27 Lester Rd, Statesboro, GA 30458-4764 | 2006-07-06 |
| 1538122478 | Sidney R Washington IIi | Specialist | 1878 Brannen Lake Rd, Statesboro, GA 30458-7257 | 2006-04-11 |
| 1720476237 | Betty Parrish | Specialist | 1310 Brampton Ave, Statesboro, GA 30458 | 2015-01-06 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30438 |
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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.