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GASTROENTEROLOGY SPECIALISTS OF DEKALB
NPI 1144350869
Internal Medicine - Gastroenterology in Decatur, GA

Active since March 06, 2007CLIA 11D1034943 · Waiver
3292 MOUNTAIN DR, SUITE A, DECATUR, GA 30032(404) 294-8180(404) 294-8188 Get Directions Write a Review

NPPES record last updated: December 28, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Gastroenterology Specialists Of Dekalb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GASTROENTEROLOGY SPECIALISTS OF DEKALB (NPI 1144350869) is a healthcare organization registered as a gastroenterology in Decatur, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Shirley Ann Harris, President, as its authorized official.

NPPES Registry Identity

NPI1144350869
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGASTROENTEROLOGY SPECIALISTS OF DEKALB
Location Address3292 MOUNTAIN DR, SUITE ADecatur, GA 30032-1102
Mailing Address3292 Mountain Dr, Suite ADecatur, GA 30032-1102 · (404) 294-8180 · Fax (404) 294-8188
Phone(404) 294-8180
Fax(404) 294-8188
Organization SubpartNo
Authorized OfficialShirley Ann HarrisPresident · (404) 294-8180
Enumeration DateMarch 6, 2007
Last NPPES UpdateDecember 28, 2011
✔ NPI 1144350869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
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.
3292 MOUNTAIN DR, Decatur, GA 30032
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gastroenterology Specialists Of Dekalb is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gastroenterology Specialists Of Dekalb, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kavitha Gopal, M.D.
Gastroenterology
NPI 1467613844
3292 MOUNTAIN DR SUITE A
Decatur, GA 30032
(404) 294-8180
✔ PECOS✔ Accepts MedicareSame address
Shirley Harris, M.D.
Gastroenterology
NPI 1417027277
3292 MOUNTAIN DR SUITE A
Decatur, GA 30032
(404) 294-8180
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1034943

Gastroenterology Specialists Of Dekalb · Decatur, GA
Active · expires Dec 15, 2026
CLIA Number11D1034943
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorShirley A. Harris
Laboratory Phone(404) 294-8180
Laboratory LocationGastroenterology Specialists Of Dekalb3292 Mountain Drive,suite A, Decatur, GA 30032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Gastroenterology Specialists Of Dekalb's NPI number?

The NPI number for Gastroenterology Specialists Of Dekalb is 1144350869. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Gastroenterology Specialists Of Dekalb located?

Gastroenterology Specialists Of Dekalb is located at 3292 Mountain Dr Suite A, Decatur, GA 30032. The listed phone number is (404) 294-8180.

What is Gastroenterology Specialists Of Dekalb's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gastroenterology Specialists Of Dekalb enrolled in Medicare?

Yes. Gastroenterology Specialists Of Dekalb is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gastroenterology Specialists Of Dekalb?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Gastroenterology, reassign their Medicare billing to Gastroenterology Specialists Of Dekalb. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gastroenterology Specialists Of Dekalb hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1034943) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gastroenterology Specialists Of Dekalb was last updated on December 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.