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GASTRO SOUTH, LLC
NPI 1790440204
Internal Medicine - Gastroenterology in Macon, GA

Active since November 01, 2021
240 SHERATON BLVD, MACON, GA 31210(706) 495-5718 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1790440204
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGASTRO SOUTH, LLC
Location Address240 SHERATON BLVDMacon, GA 31210-1358
Mailing Address9172 Estes RdMacon, GA 31220-5603 · (706) 495-5718
Phone(706) 495-5718
Organization SubpartNo
Authorized OfficialJoel JudahManaging Member · (706) 495-5718
Enumeration DateNovember 1, 2021
NPPES CertifiedOctober 13, 2021
✔ NPI 1790440204 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.
240 SHERATON BLVD, Macon, GA 31210
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Secondary Practice Location 1

Location 1249-A Sheraton BLVDMacon, GA 31210 · Phone (706) 495-5718

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 12

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

AMELIA GRACE ANDREWS GRANGER PA-C
Physician Assistant
240 SHERATON BLVD
MACON, GA 31210
Bibb County (478) 633-8700
JOEL ROY JUDAH MD
Internal Medicine (Gastroenterology)
240 SHERATON BLVD
MACON, GA 31210
Bibb County (478) 633-8700
JENNIFER GWEN WOOD PA-C
Physician Assistant (Medical)
240 SHERATON BLVD
MACON, GA 31210
Bibb County (478) 471-1943
DR. WILLIAM KEITH FACKLER MD
Internal Medicine (Gastroenterology)
240 SHERATON BLVD
MACON, GA 31210
Bibb County (478) 633-8700
MRS. ELIZABETH LEE LOWRY PA-C
Physician Assistant
240 SHERATON BLVD
MACON, GA 31210
Bibb County (478) 471-1943
DR. DANIEL ELI PENN M.D.
Internal Medicine (Gastroenterology)
240 SHERATON BLVD
MACON, GA 31210
Bibb County (478) 633-1000
DR. JAY MICHAEL ANDERSON M.D.
Internal Medicine (Gastroenterology)
240 SHERATON BLVD
MACON, GA 31210
Bibb County (478) 633-8700
SUSAN MEREDITH DEBEY NP-C
Nurse Practitioner (Family)
240 SHERATON BLVD
MACON, GA 31210
Bibb County (478) 633-8700

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.

What insurance does Gastro South, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Gastro South, LLC 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 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.