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COLON AND RECTAL CLINIC, LLC
NPI 1003243072
Colon & Rectal Surgery in Suwanee, GA

Active since October 04, 2013
3905 JOHNS CREEK CT 200, SUWANEE, GA 30024(770) 495-0799(770) 495-0783 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1003243072
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameCOLON AND RECTAL CLINIC, LLC
Location Address3905 JOHNS CREEK CT 200Suwanee, GA 30024-1224
Mailing Address3905 Johns Creek Court Suite 200Suwanee, GA 30024 · (770) 495-0799 · Fax (770) 495-0783
Phone(770) 495-0799
Fax(770) 495-0783
Organization SubpartNo
Authorized OfficialKota R VenkateshOwner · (678) 296-5495
Enumeration DateOctober 4, 2013
Last NPPES UpdateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1003243072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in GA · 062621
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
3905 JOHNS CREEK CT 200, Suwanee, GA 30024
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Secondary Practice Location 1

Location 1761 Walther Road Suite 300Lawrenceville, GA 30046-1224 · Phone (770) 495-0799 · Fax (770) 495-0783

Other Identifiers 1

Medicaid226365641AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Magnolia Health and more.Insurance ›

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.

What insurance does Colon And Rectal Clinic, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Magnolia Health and Ambetter of Alabama and 2 other insurers 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.