GASTRO SOUTH, LLC
NPI 1790440204
Internal Medicine - Gastroenterology in Macon, GA
About Gastro South, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GASTRO SOUTH, LLC (NPI 1790440204) is a healthcare organization registered as a gastroenterology in Macon, Georgia and active in the NPI registry since November 2021. The organization maintains a secondary practice location in Macon and lists Joel Judah, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gastro South, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Gastro South, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Gastro South, LLC's NPI number?
The NPI number for Gastro South, LLC is 1790440204. It was assigned to this organization in the NPPES registry on November 1, 2021.
Where is Gastro South, LLC located?
Gastro South, LLC is located at 240 Sheraton Blvd, Macon, GA 31210. The listed phone number is (706) 495-5718.
What is Gastro South, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Gastro South, LLC enrolled in Medicare?
Yes. Gastro South, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gastro South, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Gastroenterology, reassign their Medicare billing to Gastro South, 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gastro South, LLC was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Gastro South, Llc · NPI 1790440204
Gastroenterology organization in Macon, Georgia. Organization record, active in the CMS NPPES registry since November 1, 2021.
## Identity
- **NPI:** 1790440204 (Entity type: Organization)
- **Enumerated:** November 1, 2021
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** Joel Judah, MANAGING MEMBER
## Practice location
- **Address:** 240 SHERATON BLVD, Macon, GA 31210-1358
- **Phone:** (706) 495-5718
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Gastroenterology) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1790440204) · Data from the CMS NPPES public registry.