STATESBORO GASTROENTEROLOGY INC (NPI# 1417986126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417986126 |
| Entity Type | Organization |
| Organization Name | STATESBORO GASTROENTEROLOGY INC |
| Practice Address |
1555 Brampton Ave Statesboro GA 30458-0856 |
| Mailing Address |
Po Box 537021 Atlanta GA 30353-7021 |
| Practice Telephone | 9126812007 |
| Practice Fax Number | 9126811489 |
| Mailing Telephone | 4048887575 |
| Mailing Fax Number | 4048857777 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2011-10-28 |
| Authorized Official Name | DR. STEVEN J MORRIS (PHYSICIAN) |
| Authorized Official Telephone | 4048887575 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003110224A | 05 |
| Street Address |
1555 BRAMPTON AVE |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-0856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740237213 | Bulloch County Endoscopy Center, LLC | Clinic/Center | 1555 Brampton Ave, Statesboro, GA 30458-0856 | 2006-05-28 |
| 1871953729 | Carlie Tilson | Nurse Practitioner | 1555 Brampton Ave, Statesboro, GA 30458-0856 | 2016-03-03 |
| 1780013292 | Magnolia Women's Healthcare, LLC | Obstetrics & Gynecology | 1555 Brampton Ave, Statesboro, GA 30458-0856 | 2013-11-05 |
| 1750687893 | Statesboro Gi Anesthesia LLC | Anesthesiology | 1555 Brampton Ave, Statesboro, GA 30458-0856 | 2011-02-08 |
| 1013956044 | Regina Schmidt | Physician Assistant | 1555 Brampton Ave, Statesboro, GA 30458-0856 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| 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 |
|---|---|---|---|---|
| 1760461925 | Joseph M Hathaway Jr. | Internal Medicine | 114 Hill Pond Ln, Statesboro, GA 30458-0872 | 2006-01-15 |
| 1144222456 | Patrick Dorvilus | Internal Medicine | 1601 Fair Rd, Ste 500, Statesboro, GA 30458-1699 | 2005-06-01 |
| 1780909879 | Loan Vu | Internal Medicine | 1497 Fair Rd Ste 102, Statesboro, GA 30458 | 2010-03-31 |
| 1093039760 | Gastroenterology Institute, PC | Internal Medicine | 114 Hill Pond Ln, Statesboro, GA 30458-0872 | 2010-03-24 |
| 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 |
| 1023582798 | Digestive Care Consultants, LLC | Internal Medicine | 11315 Johns Creek Pkwy Ste 400, Johns Creek, GA 30097-1517 | 2019-01-16 |
| 1285122465 | Atlanta Premier Gi Endoscopy, LLC | Internal Medicine | 3400 Mcclure Bridge Rd Ste B201, Duluth, GA 30096-8705 | 2018-04-24 |
| 1346762838 | Precision Medical Center PC | Internal Medicine | 4646 N Shallowford Rd Ste 555, Atlanta, GA 30338-6308 | 2017-07-17 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1922407162 | Umg Gastroenterology LLC | Internal Medicine | 820 Saint Sebastian Way Ste 2f, Augusta, GA 30901-2636 | 2014-08-13 |
| 1841618881 | Leah G Katta | Internal Medicine | 3400 Old Milton Pkwy Ste 380, Alpharetta, GA 30005-3707 | 2014-04-05 |
| 1306276324 | Candler Gastroenterology | Internal Medicine | 380b Cedar St, Metter, GA 30439-4042 | 2013-11-13 |
| 1215377247 | Deepanshu Jain | Internal Medicine | 8855 Hospital Dr Ste 101, Douglasville, GA 30134-2256 | 2013-07-05 |
| 1114260833 | Shahzad Ahmed | Internal Medicine | 1301 Sigman Rd Ne Ste 170, Conyers, GA 30012-3923 | 2013-04-01 |
| Find all providers with the same taxonomy | ||||
| City | STATESBORO |
| Zip Code | 30458 |
Please comment or provide details below to improve the information on STATESBORO GASTROENTEROLOGY INC.
| 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.