CENTRAL GEORGIA GASTROENTEROLOGY, LLC
NPI 1285925941
Specialist in Macon, GA

Active since April 28, 2011
791 POPLAR ST, MACON, GA 31201(478) 474-1769 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Central Georgia Gastroenterology, Llc NPPES

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

CENTRAL GEORGIA GASTROENTEROLOGY, LLC (NPI 1285925941) is a healthcare organization registered as a specialist in Macon, Georgia and active in the NPI registry since April 2011. The organization lists Leslie Dixon, Billing Office Manager, as its authorized official.

NPPES Registry Identity

NPI1285925941
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCENTRAL GEORGIA GASTROENTEROLOGY, LLC
Location Address791 POPLAR STMacon, GA 31201-2045
Mailing Address791 Poplar StMacon, GA 31201-2045
Organization SubpartNo
Authorized OfficialLeslie DixonBilling Office Manager · (478) 474-1769
Enumeration DateApril 28, 2011
Last NPPES UpdateJune 1, 2011
✔ NPI 1285925941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 037564
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
791 POPLAR ST, Macon, GA 31201

Other Identifiers 1

Medicare UPINF65259GA

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)

Central Georgia Gastroenterology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Central Georgia Gastroenterology, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1124645981
791 POPLAR ST
Macon, GA 31201
(478) 755-8838
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598354565
791 POPLAR ST
Macon, GA 31201
(478) 755-8838
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1447292008
791 POPLAR ST
Macon, GA 31201
(478) 755-0800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073999132
2525 2ND ST SUITE 150
Macon, GA 31206
(478) 254-7353
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1447813993
3300 N INGLE PL APT 6E
Macon, GA 31210
(478) 538-4803
✔ PECOS✔ Accepts Medicare4.7 mi
Nurse Practitioner
NPI 1205420650
231 W HANCOCK ST
Milledgeville, GA 31061
(678) 675-9593
✔ PECOS29 mi

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 Central Georgia Gastroenterology, LLC's NPI number?

The NPI number for Central Georgia Gastroenterology, LLC is 1285925941. It was assigned to this organization in the NPPES registry on April 28, 2011.

Where is Central Georgia Gastroenterology, LLC located?

Central Georgia Gastroenterology, LLC is located at 791 Poplar St, Macon, GA 31201. The listed phone number is (478) 474-1769.

What is Central Georgia Gastroenterology, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Central Georgia Gastroenterology, LLC enrolled in Medicare?

Yes. Central Georgia Gastroenterology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Georgia Gastroenterology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Central Georgia Gastroenterology, 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. The largest specialties are Nurse Practitioner (5) and Gastroenterology (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Central Georgia Gastroenterology, LLC was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.