GASTROENTEROLOGY MEDICINE & NUTRITION CLINIC, PC
GASTROENTEROLOGY MEDICINE & NUTRITION CLINIC, PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1366625535, based in Atlanta, GA. The organization lists 2 taxonomy classifications, with Gastroenterology Physician recorded as primary.
Getting there
The practice address on file is 3886 PRINCETON LAKES WAY SW STE 120, Atlanta, GA 30331. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 021539 | GA | Gastroenterology Physician primary |
| 021539 | GA | Medical Specialty Clinic/Center |
This provider holds licence 021539 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1759432784
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Gastroenterology covers
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. NUCC Health Care Provider Taxonomy, code 207RG0100X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RG0100X | Gastroenterology Physician Gastroenterology | 021539 | GA | primary |
| 261QM2500X | Medical Specialty Clinic/Center Medical Specialty | 021539 | GA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1366625535 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 11, 2007 |
| Last updated | Jun 12, 2025 |
| Status | Active |
| Practice address |
3886 PRINCETON LAKES WAY SW STE 120 Atlanta, GA 30331 (404) 681-0000 Fax (678) 866-2538 |
| Mailing address |
PO BOX 570744 Atlanta, GA 30357 |
| Other identifiers |
00204586B
(GA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 6 | 6 | 6 | 2 | 5 | 5 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 3 | 6 | 3 | 2 | 1 | 5 | 6 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.