GASTROENTEROLOGY MEDICINE & NUTRITION CLINIC, PC (NPI# 1366625535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366625535 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY MEDICINE & NUTRITION CLINIC, PC |
| Practice Address |
3200 Downwood Cir Nw Ste 340 Atlanta GA 30327-1605 |
| Mailing Address |
Po Box 77007 Atlanta GA 30357-1007 |
| Practice Telephone | 4046810000 |
| Practice Fax Number | 4043658354 |
| Mailing Telephone | 4046810000 |
| Mailing Fax Number | 4043658354 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2008-07-07 |
| Authorized Official Name | DR. EDWARD A LAYNE (PRESIDENT) |
| Authorized Official Telephone | 4046810000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
021539 | GA | Ambulatory Health Care Facilities |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
021539 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00204586B | 05 |
| Street Address |
3200 DOWNWOOD CIR NW STE 340 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30327-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942234281 | Charles Edward Garten II | Family Medicine | 3200 Downwood Cir Nw Ste 340, Atlanta, GA 30327-1605 | 2006-07-11 |
| 1720606056 | Caroline Rodgers | Physician Assistant | 3200 Downwood Cir Nw Ste 340, Atlanta, GA 30327-1605 | 2020-07-13 |
| 1386819217 | Myers Sports Medicine and Orthopaedic Center | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 340, Atlanta, GA 30327-1605 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| 1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
| 1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
| 1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
| 1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
| 1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| Find all providers in zip 30327 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741448 | Gastro Consultants of Atlanta PC | Internal Medicine | 5669 Peachtree Dunwoody Rd Ste 270, Atlanta, GA 30342-1786 | 2019-07-02 |
| 1346762838 | Precision Medical Center PC | Internal Medicine | 4646 N Shallowford Rd Ste 555, Atlanta, GA 30338-6308 | 2017-07-17 |
| 1720345135 | Mohammed Asker Razvi | Internal Medicine | 1648 Pierce Dr Suite 327, Atlanta, GA 30322-0001 | 2012-04-23 |
| 1811271083 | Jasna Ikanovic Beard | Internal Medicine | 5673 Peachtree Dunwoody Rd Ste 500, Atlanta, GA 30342-2147 | 2011-10-05 |
| 1326334608 | Sheela S Reddy | Internal Medicine | 1968 Peachtree Rd Nw Bldg 776th, Atlanta, GA 30309-1281 | 2011-06-24 |
| 1295025237 | Ravi Siddharth Vora | Internal Medicine | 1365 Clifton Rd, Ne, Bldg B, 6th Floor Ste. 6100, Atlanta, GA 30322 | 2011-04-11 |
| 1386943959 | Leslie Steven Leighton | Internal Medicine | 1375 Harvard Rd Ne, Atlanta, GA 30306-2431 | 2011-03-22 |
| 1437335288 | Julia F Massaad | Internal Medicine | 615 Michael St Ne Ste 201, Atlanta, GA 30322-1047 | 2008-01-10 |
| 1457550782 | Heba Nagi Iskandar | Internal Medicine | Emory University 1365 Clifton Rd Ne, Building B, Suite 1200, Atlanta, GA 30322-0001 | 2007-07-17 |
| 1962616946 | Girish Anand | Internal Medicine | 5671 Peachtree Dunwoody Rd Ste 600, Atlanta, GA 30342 | 2007-05-09 |
| Find all providers in ATLANTA | ||||
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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.