GASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION
NPI 1366442642
Internal Medicine - Gastroenterology in Monroe, LA

Active since July 28, 2005
611 GRAMMONT ST, MONROE, LA 71201(318) 325-2634(318) 812-1205 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 2, 2026, Jul 21, 2022 (2 updates tracked since 2022).

About Gastroenterology Clinic, A Professional Medical Corporation NPPES

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

GASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION (NPI 1366442642) is a healthcare organization registered as a gastroenterology in Monroe, Louisiana and active in the NPI registry since July 2005. The organization lists Andrew W. Waldo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1366442642
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION
Location Address611 GRAMMONT STMonroe, LA 71201-7516
Mailing Address611 Grammont StMonroe, LA 71201-7516 · (318) 325-2634 · Fax (318) 812-1205
Fax(318) 812-1205
Organization SubpartNo
Authorized OfficialAndrew W. WaldoAdministrator · (318) 325-2634
Enumeration DateJuly 28, 2005
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1366442642 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.
611 GRAMMONT ST, Monroe, LA 71201

Other Identifiers 2

Other23704Blue Cross Of Louisiana
Medicaid1798240LA

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

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 Clinic, A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Gastroenterology Clinic, A Professional Medical Corporation, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Gastroenterology7
Nurse Practitioner4
Hospitalist1
Pathology1

Clinicians, nearest first (13)

Nurse Practitioner
NPI 1104774025
611 GRAMMONT ST
Monroe, LA 71201
(318) 325-2634
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801632476
611 GRAMMONT ST.
Monroe, LA 71201
(318) 325-2634
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1104388982
611 GRAMMONT ST
Monroe, LA 71201
(318) 325-2634
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1730147786
611 GRAMMONT ST
Monroe, LA 71201
(318) 325-2634
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1568462851
611 GRAMMONT ST
Monroe, LA 71201
(318) 325-2634
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1194111518
611 GRAMMONT ST.
Monroe, LA 71201
(318) 325-2634
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1740473925
611 GRAMMONT ST
Monroe, LA 71201
(318) 325-2634
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1184155129
611 GRAMMONT ST.
Monroe, LA 71201
(318) 325-2634
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306293436
611 GRAMMONT ST.
Monroe, LA 71201
(318) 325-2649
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1013127935
611 GRAMMONT ST.
Monroe, LA 71201
(318) 325-2634
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487107744
611 GRAMMONT ST.
Monroe, LA 71201
(318) 325-2634
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1538138763
102 THOMAS RD. SUITE 114
West Monroe, LA 71291
(318) 812-3303
✔ PECOS✔ Accepts Medicare2.8 mi
Pathology
NPI 1184788747
3495 HACKS CROSS RD
Memphis, TN 38125
(901) 526-7444
✔ PECOS✔ Accepts Medicare221 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 Gastroenterology Clinic, A Professional Medical Corporation's NPI number?

The NPI number for Gastroenterology Clinic, A Professional Medical Corporation is 1366442642. It was assigned to this organization in the NPPES registry on July 28, 2005.

Where is Gastroenterology Clinic, A Professional Medical Corporation located?

Gastroenterology Clinic, A Professional Medical Corporation is located at 611 Grammont St, Monroe, LA 71201. The listed phone number is (318) 325-2634.

What is Gastroenterology Clinic, A Professional Medical Corporation's specialty?

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

Is Gastroenterology Clinic, A Professional Medical Corporation enrolled in Medicare?

Yes. Gastroenterology Clinic, A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gastroenterology Clinic, A Professional Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Gastroenterology Clinic, A Professional Medical Corporation. 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 Gastroenterology (7), Nurse Practitioner (4) and Hospitalist (1). Of these, 11 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gastroenterology Clinic, A Professional Medical Corporation accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Gastroenterology Clinic, A Professional Medical Corporation 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 Gastroenterology Clinic, A Professional Medical Corporation was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.