NPI age
20 years
Enumerated 2006-01-03
● Active Type 2 · Organization
Endoscopy Center Of Middle Georgia Llc
Endoscopy Center Of Middle Georgia Llc is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gibbert
Administrator
Last NPPES update
2014-08-07
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
20 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
610 Third Street
MacOn, GA 31201
Mailing address
610 Third Street
MacOn, GA 31201
Authorized official
Sarah Gibbert
Administrator
📞 4784642600
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Calton Huckaby, MD Internal Medicine NPI 1629049499
- Debra Kime, PA Physician Assistant NPI 1114982709
- Shahriar Sedghi, M.D. Internal Medicine NPI 1689659260
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 720442190A |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.