COLON AND RECTAL CLINIC, LLC
NPI 1003243072
Colon & Rectal Surgery in Suwanee, GA
About Colon And Rectal Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLON AND RECTAL CLINIC, LLC (NPI 1003243072) is a healthcare organization registered as a colon & rectal surgery in Suwanee, Georgia and active in the NPI registry since October 2013. The organization maintains a secondary practice location in Lawrenceville and lists Kota R Venkatesh, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Colon And Rectal Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Colon And Rectal Clinic, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Colon And Rectal Clinic, LLC's NPI number?
The NPI number for Colon And Rectal Clinic, LLC is 1003243072. It was assigned to this organization in the NPPES registry on October 4, 2013.
Where is Colon And Rectal Clinic, LLC located?
Colon And Rectal Clinic, LLC is located at 3905 Johns Creek Ct 200, Suwanee, GA 30024. The listed phone number is (770) 495-0799.
What is Colon And Rectal Clinic, LLC's specialty?
The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.
Is Colon And Rectal Clinic, LLC enrolled in Medicare?
Yes. Colon And Rectal Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Colon And Rectal Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Colorectal Surgery (Proctology)) reassigns their Medicare billing to Colon And Rectal Clinic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Colon And Rectal Clinic, LLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Colon And Rectal Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Colon And Rectal Clinic, LLC was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Colon And Rectal Clinic, Llc · NPI 1003243072
Colon & Rectal Surgery organization in Suwanee, Georgia. Organization record, active in the CMS NPPES registry since October 4, 2013.
## Identity
- **NPI:** 1003243072 (Entity type: Organization)
- **Enumerated:** October 4, 2013
- **Primary specialty:** Colon & Rectal Surgery · taxonomy 208C00000X
- **Organization subpart:** No
- **Authorized official:** Kota Venkatesh, OWNER
## Practice location
- **Address:** 3905 JOHNS CREEK CT 200, Suwanee, GA 30024-1224
- **Phone:** (770) 495-0799 · **Fax:** (770) 495-0783
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Colorectal Surgery (Proctology)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2023
- **Other identifiers:** Medicaid 226365641A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1003243072) · Data from the CMS NPPES public registry.