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: July 19, 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
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

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

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.

Physician Assistant (Medical)
240 SHERATON BLVD
MACON, GA 31210
Nurse Practitioner
240 SHERATON BLVD
MACON, GA 31210
Colon & Rectal Surgery
240 SHERATON BLVD
MACON, GA 31210
Internal Medicine (Gastroenterology)
240 SHERATON BLVD
MACON, GA 31210
Internal Medicine (Gastroenterology)
240 SHERATON BLVD
MACON, GA 31210
Internal Medicine (Gastroenterology)
240 SHERATON BLVD
MACON, GA 31210
Physician Assistant
240 SHERATON BLVD
MACON, GA 31210
Nurse Practitioner (Family)
240 SHERATON BLVD
MACON, GA 31210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790440204, enumerated as an "organization" on November 01, 2021.

The provider is located at 240 SHERATON BLVD MACON, GA 31210 and the phone number is (706) 495-5718.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.