SOUTHERN GASTROENTEROLOGY SPECIALISTS, P.C
NPI 1952405052
Specialist in Locust Grove, GA
About Southern Gastroenterology Specialists, P.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN GASTROENTEROLOGY SPECIALISTS, P.C (NPI 1952405052) is a healthcare organization registered as a specialist in Locust Grove, Georgia and active in the NPI registry since September 2006. The organization lists Aruna R Prakash, Secretory, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
Southern Gastroenterology Specialists, P.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Southern Gastroenterology Specialists, P.C, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Southern Gastroenterology Specialists, P.C's NPI number?
The NPI number for Southern Gastroenterology Specialists, P.C is 1952405052. It was assigned to this organization in the NPPES registry on September 11, 2006.
Where is Southern Gastroenterology Specialists, P.C located?
Southern Gastroenterology Specialists, P.C is located at 4865 Bill Gardner Pkwy, Locust Grove, GA 30248. The listed phone number is (770) 692-0100.
What is Southern Gastroenterology Specialists, P.C's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Southern Gastroenterology Specialists, P.C enrolled in Medicare?
Yes. Southern Gastroenterology Specialists, P.C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Gastroenterology Specialists, P.C?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Southern Gastroenterology Specialists, P.C. 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. The largest specialties are Gastroenterology (4), Nurse Practitioner (2) and Pathology (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Gastroenterology Specialists, P.C accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southern Gastroenterology Specialists, P.C 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 Southern Gastroenterology Specialists, P.C was last updated on November 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Southern Gastroenterology Specialists, P.c · NPI 1952405052
Specialist organization in Locust Grove, Georgia. Organization record, active in the CMS NPPES registry since September 11, 2006.
## Identity
- **NPI:** 1952405052 (Entity type: Organization)
- **Enumerated:** September 11, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Aruna Prakash, SECRETORY
## Practice location
- **Address:** 4865 BILL GARDNER PKWY, Locust Grove, GA 30248-3644
- **Phone:** (770) 692-0100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Gastroenterology (4), Nurse Practitioner (2), Pathology (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 12, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1952405052) · Data from the CMS NPPES public registry.