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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: August 09, 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
Phone(478) 474-1769
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
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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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA LOGUE
Nurse Practitioner (Family)
791 POPLAR ST
MACON, GA 31201
Bibb County (478) 755-8838
DON S HEACOCK M.D.
Specialist
791 POPLAR ST
MACON, GA 31201
Bibb County (478) 755-0800
CHRISTIAN REBECCA CLINARD NP
Nurse Practitioner
791 POPLAR ST
MACON, GA 31201
Bibb County (478) 755-8838
MIDDLE GEORGIA GASTROENTEROLOGY
Specialist
791 POPLAR ST
MACON, GA 31201
Bibb County (478) 755-0800

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.

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.