SOUTH ATLANTA DIGESTIVE DISEASES ASSOCIATES
NPI 1841460490
Internal Medicine - Gastroenterology in East Point, GA

Q: What is South Atlanta Digestive Diseases Associates's specialty?

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

Active since March 10, 2008CLIA 11D1100488 · Waiver

1151 CLEVELAND AVE, SUITE D, EAST POINT, GA 30344(404) 761-7949(404) 761-7386 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About South Atlanta Digestive Diseases Associates NPPES

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

SOUTH ATLANTA DIGESTIVE DISEASES ASSOCIATES (NPI 1841460490) is a healthcare organization registered as a gastroenterology in East Point, Georgia and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Petronilla C Okere, Office Aministrator, as its authorized official.

NPPES Registry Identity

NPI1841460490

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameSOUTH ATLANTA DIGESTIVE DISEASES ASSOCIATES

Location Address1151 CLEVELAND AVE, SUITE DEast Point, GA 30344-3600

Mailing Address1151 Cleveland Ave, Suite DEast Point, GA 30344-3600 · (404) 761-7949 · Fax (404) 761-7386

Phone(404) 761-7949

Fax(404) 761-7386

Organization SubpartNo

Authorized OfficialPetronilla C OkereOffice Aministrator · (404) 761-7949

Enumeration DateMarch 10, 2008

Last NPPES UpdateApril 2, 2024

NPPES CertifiedApril 2, 2024

✔ NPI 1841460490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in GA · 048686

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 ListedInternal MedicineTaxonomy 207R00000X · License 048686 (GA)

Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License 048686 (GA)

Also ListedInternal Medicine · Transplant HepatologyTaxonomy 207RT0003X · License 048686 (GA)

1151 CLEVELAND AVE, East Point, GA 30344

Open in Google Maps ↗

Other Identifiers 2

Medicaid000893483CGA

Other003089GA · Bcbs

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 MULTIPLE 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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Atlanta Digestive Diseases Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to South Atlanta Digestive Diseases Associates, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Okolo, M.D.

Gastroenterology

NPI 1104897024

1151 CLEVELAND AVE SUITE D
East Point, GA 30344

(404) 761-7949

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11D1100488

South Atlanta Digestive Diseases Associates · East Point, GA

Active · expires Jun 7, 2027

CLIA Number11D1100488

Laboratory TypePhysician Office

Certificate Effective DateJune 8, 2025

Certificate Expiration DateJune 7, 2027

Laboratory DirectorCharles Okolo MD

Laboratory Phone(404) 761-7949

Laboratory LocationSouth Atlanta Digestive Diseases Associates1151 Cleveland Avenue Suite D, East Point, GA 30344

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 South Atlanta Digestive Diseases Associates's NPI number?

The NPI number for South Atlanta Digestive Diseases Associates is 1841460490. It was assigned to this organization in the NPPES registry on March 10, 2008.

Where is South Atlanta Digestive Diseases Associates located?

South Atlanta Digestive Diseases Associates is located at 1151 Cleveland Ave Suite D, East Point, GA 30344. The listed phone number is (404) 761-7949.

What is South Atlanta Digestive Diseases Associates's specialty?

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

Is South Atlanta Digestive Diseases Associates enrolled in Medicare?

Yes. South Atlanta Digestive Diseases Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Atlanta Digestive Diseases Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to South Atlanta Digestive Diseases Associates. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Atlanta Digestive Diseases Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1100488) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Atlanta Digestive Diseases Associates accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list South Atlanta Digestive Diseases Associates 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 South Atlanta Digestive Diseases Associates was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.