NPI age
15 years
Enumerated 2011-04-28
● Active Type 2 · Organization
Central Georgia Gastroenterology, Llc
Central Georgia Gastroenterology, Llc is 1 of 1881 specialist organizations in Georgia.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dixon
Billing Office Manager
Last NPPES update
2011-06-01
Source: monthly bulk 2026-05
How this organization compares
Across 1881 active specialist providers in Georgia.
NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-04Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
791 Poplar St
MacOn, GA 312012045
Mailing address
791 Poplar St
MacOn, GA 312012045
Authorized official
Leslie Dixon
Billing Office Manager
📞 4784741769
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Christian Clinard, NP Nurse Practitioner NPI 1598354565
- Don Heacock, M.D. Specialist NPI 1447292008
- Jessica Logue Nurse Practitioner NPI 1124645981
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.