ATLANTA SOUTH GASTROENTEROLOGY P.C.
NPI 1700076346
Internal Medicine - Gastroenterology in East Point, GA

Active since July 30, 2007
1136 CLEVELAND AVE, SUITE 608, EAST POINT, GA 30344(404) 763-1606(404) 768-3505 Get Directions Write a Review

NPPES record last updated: July 30, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Atlanta South Gastroenterology P.c. NPPES

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

ATLANTA SOUTH GASTROENTEROLOGY P.C. (NPI 1700076346) is a healthcare organization registered as a gastroenterology in East Point, Georgia and active in the NPI registry since July 2007. The organization lists David Michael Martin, President, as its authorized official.

NPPES Registry Identity

NPI1700076346
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameATLANTA SOUTH GASTROENTEROLOGY P.C.
Location Address1136 CLEVELAND AVE, SUITE 608East Point, GA 30344-3618
Mailing Address1136 Cleveland Ave, Suite 608East Point, GA 30344-3618 · (404) 763-1606 · Fax (404) 768-3505
Fax(404) 768-3505
Organization SubpartNo
Authorized OfficialDavid Michael MartinPresident · (404) 763-1606
Enumeration DateJuly 30, 2007
✔ NPI 1700076346 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.
1136 CLEVELAND AVE, East Point, GA 30344

Other Identifiers 1

Medicare PINGRP1863GA

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)

Atlanta South Gastroenterology P.c. 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 Atlanta South Gastroenterology P.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1982940797
34 UPPER RIVERDALE ROAD SUITE 201
Riverdale, GA 30274
(678) 904-0094
✔ PECOS✔ Accepts Medicare7.4 mi
Gastroenterology
NPI 1740379866
34 UPPER RIVERDALE RD SUITE 201
Riverdale, GA 30274
(678) 904-0094
✔ PECOS✔ Accepts Medicare7.4 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 Atlanta South Gastroenterology P.C.'s NPI number?

The NPI number for Atlanta South Gastroenterology P.C. is 1700076346. It was assigned to this organization in the NPPES registry on July 30, 2007.

Where is Atlanta South Gastroenterology P.C. located?

Atlanta South Gastroenterology P.C. is located at 1136 Cleveland Ave Suite 608, East Point, GA 30344. The listed phone number is (404) 763-1606.

What is Atlanta South Gastroenterology P.C.'s specialty?

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

Is Atlanta South Gastroenterology P.C. enrolled in Medicare?

Yes. Atlanta South Gastroenterology P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlanta South Gastroenterology P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Atlanta South Gastroenterology P.C., in Gastroenterology and Nurse Practitioner. 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 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 Atlanta South Gastroenterology P.C. was last updated on July 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.