1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Internal Medicine
  6. NPI Profile

GASTROENTEROLOGY MEDICINE & NUTRITION CLINIC, PC
NPI 1366625535
Internal Medicine - Gastroenterology in Atlanta, GA

Active since December 11, 2007CLIA 11D2336509 · Waiver
3886 PRINCETON LAKES WAY SW STE 120, ATLANTA, GA 30331(404) 681-0000(678) 866-2538 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gastroenterology Medicine & Nutrition Clinic, Pc NPPES

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

GASTROENTEROLOGY MEDICINE & NUTRITION CLINIC, PC (NPI 1366625535) is a healthcare organization registered as a gastroenterology in Atlanta, Georgia and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through January 5, 2028, maintains a secondary practice location in Atlanta, and lists Edward A Layne, President, as its authorized official.

NPPES Registry Identity

NPI1366625535
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGASTROENTEROLOGY MEDICINE & NUTRITION CLINIC, PC
Location Address3886 PRINCETON LAKES WAY SW STE 120Atlanta, GA 30331-5511
Mailing AddressPo Box 570744Atlanta, GA 30357-3113 · (404) 681-0000 · Fax (404) 365-8354
Phone(404) 681-0000
Fax(678) 866-2538
Organization SubpartNo
Authorized OfficialEdward A LaynePresident · (404) 681-0000
Enumeration DateDecember 11, 2007
Last NPPES UpdateJune 12, 2025
NPPES CertifiedJune 12, 2025
✔ NPI 1366625535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in GA · 021539
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.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License 021539 (GA)
3886 PRINCETON LAKES WAY SW STE 120, Atlanta, GA 30331
Open in Google Maps ↗

Secondary Practice Location 1

Location 13200 Downwood Cir NW Ste 340Atlanta, GA 30327-1605 · Phone (404) 681-0000 · Fax (404) 365-8354

Other Identifiers 1

Medicaid00204586BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 11D2336509

Gastroenterology & Nutrition Clinics · Atlanta, GA
Active · expires Jan 5, 2028
CLIA Number11D2336509
Laboratory TypePhysician Office
Certificate Effective DateJanuary 6, 2026
Certificate Expiration DateJanuary 5, 2028
Laboratory DirectorEdward A. Layne
Laboratory Phone(404) 681-0000
Laboratory LocationGastroenterology & Nutrition Clinics3886 Princeton Lakes Way, Suite 120, Atlanta, GA 30331
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

WELLSPRING GE INC
Family Medicine
3886 PRINCETON LAKES WAY SW STE 120
ATLANTA, GA 30331
Fulton County (302) 401-9193
APOTHECARY RX WELLNESS
Pharmacist
3886 PRINCETON LAKES WAY SW STE 120
ATLANTA, GA 30331
Fulton County (213) 922-0454
DR. EDWARD AUGUSTUS LAYNE M.D.
Internal Medicine (Gastroenterology)
3886 PRINCETON LAKES WAY SW STE 120
ATLANTA, GA 30331
Fulton County (404) 681-0000
SANDRA Y GOLDRING MD
Family Medicine
3886 PRINCETON LAKES WAY SW STE 120
ATLANTA, GA 30331
Fulton County (404) 530-3070

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 Medicine & Nutrition Clinic, PC's NPI number?

The NPI number for Gastroenterology Medicine & Nutrition Clinic, PC is 1366625535. It was assigned to this organization in the NPPES registry on December 11, 2007.

Where is Gastroenterology Medicine & Nutrition Clinic, PC located?

Gastroenterology Medicine & Nutrition Clinic, PC is located at 3886 Princeton Lakes Way SW Ste 120, Atlanta, GA 30331. The listed phone number is (404) 681-0000.

What is Gastroenterology Medicine & Nutrition Clinic, PC's specialty?

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

Does Gastroenterology Medicine & Nutrition Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2336509) is associated with this NPI, valid through January 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gastroenterology Medicine & Nutrition Clinic, PC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Gastroenterology Medicine & Nutrition Clinic, PC 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 Medicine & Nutrition Clinic, PC was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.