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

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: July 26, 2026.

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
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

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

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.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Gastroenterology)
1151 CLEVELAND AVE, SUITE D
EAST POINT, GA 30344
Internal Medicine
1151 CLEVELAND AVE, SUITE C
EAST POINT, GA 30344
Internal Medicine
1151 CLEVELAND AVE, SUITE C
EAST POINT, GA 30344

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.

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 with the weekly NPPES data releases published by CMS.