P Praxis·MD
● Active Type 2 · Organization

Advanced Gastroenterology Group

Exclusive Provider Organization·Woodstock, GA· NPI 1386670404 · Enumerated 2006 · 19 years on NPI
Advanced Gastroenterology Group is 1 of 62 exclusive provider organization organizations in Georgia.
NPI age
19 years
Enumerated 2006-06-23
Primary specialty
Exclusive Provider Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jackson
Office Manager
Last NPPES update
2008-04-30
Source: monthly bulk 2026-05

How this organization compares

Across 62 active exclusive provider organization providers in Georgia.

NPI age
19 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
4595 Towne Lake Pkwy, Bldg 300, Suite 200
Woodstock, GA 301895514
📞 7705090089fax 6788880642
Mailing address
4595 Towne Lake Pkwy, Bldg 300, Suite 200
Woodstock, GA 301895514
📞 7705090089fax 6788880642

Authorized official

Sharon E Jackson
Office Manager
📞 7705090089

Individual providers at this organization

11 individual providers on file at this primary practice address.

Specialties

  • Exclusive Provider Organization Primary
    (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or...
    GA license #030681 taxonomy 302F00000X

Identifiers

TypeValueNotes
01 (GA) 1447206164 NPI #

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • ADVANCED GASTROENTEROLOGY GROUP
    Type code 3 recorded 2006-06-23

Practice context

Multi-provider organization. 11 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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