SOUTHEAST GEORGIA GASTROENTEROLOGY PC
NPI 1891912713
Internal Medicine - Gastroenterology in Waycross, GA

Q: What is Southeast Georgia Gastroenterology PC's specialty?

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

Active since April 20, 2007

2003 PIONEER ST # A, WAYCROSS, GA 31501(912) 284-1210 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Southeast Georgia Gastroenterology Pc NPPES

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

SOUTHEAST GEORGIA GASTROENTEROLOGY PC (NPI 1891912713) is a healthcare organization registered as a gastroenterology in Waycross, Georgia and active in the NPI registry since April 2007. The organization lists Ahmad Irfan, President, as its authorized official.

NPPES Registry Identity

NPI1891912713

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameSOUTHEAST GEORGIA GASTROENTEROLOGY PC

Location Address2003 PIONEER ST # AWaycross, GA 31501-6249

Mailing Address2003 Pioneer St # AWaycross, GA 31501-6249 · (912) 284-1210

Phone(912) 284-1210

Organization SubpartNo

Authorized OfficialAhmad IrfanPresident · (912) 284-1210

Enumeration DateApril 20, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1891912713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in GA · 041584

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.

2003 PIONEER ST # A, Waycross, GA 31501

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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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Georgia Gastroenterology Pc 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 Southeast Georgia Gastroenterology PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ahmad Irfan, M.D.

Gastroenterology

NPI 1932209962

2003 PIONEER ST # A
Waycross, GA 31501

(912) 284-1210

✔ 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.

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 Southeast Georgia Gastroenterology PC's NPI number?

The NPI number for Southeast Georgia Gastroenterology PC is 1891912713. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Southeast Georgia Gastroenterology PC located?

Southeast Georgia Gastroenterology PC is located at 2003 Pioneer St # A, Waycross, GA 31501. The listed phone number is (912) 284-1210.

What is Southeast Georgia Gastroenterology PC's specialty?

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

Is Southeast Georgia Gastroenterology PC enrolled in Medicare?

Yes. Southeast Georgia Gastroenterology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Georgia Gastroenterology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Southeast Georgia Gastroenterology PC. 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.

What insurance does Southeast Georgia Gastroenterology PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southeast Georgia Gastroenterology PC 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 Southeast Georgia Gastroenterology PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.