NPI age
4 years
Enumerated 2021-11-01
● Active Type 2 · Organization
Gastro South, Llc
Gastro South, Llc is 1 of 643 internal medicine organizations in Georgia.
Primary specialty
Internal Medicine
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Judah
Managing Member
Last NPPES update
2021-11-01
Source: monthly bulk 2026-05
How this organization compares
Across 643 active internal medicine providers in Georgia.
NPI age
4 years
↓ 15 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-11Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
240 Sheraton Blvd
MacOn, GA 312101358
Mailing address
9172 Estes Rd
MacOn, GA 312205603
Additional practice locations
1 secondary location on file with NPPES.
Location 2
249-A Sheraton Blvd
MacOn, GA 31210
Authorized official
Joel Judah, MD
Managing Member
📞 7064955718
Individual providers at this organization
11 individual providers on file at this primary practice address.
- Jay Anderson, M.D. Internal Medicine NPI 1528245784
- Susan Debey, NP-C Nurse Practitioner NPI 1619281680
- William Fackler, MD Internal Medicine NPI 1245236082
- Tami Goddard, NP-C Nurse Practitioner NPI 1871842815
- Amelia Granger, PA-C Physician Assistant NPI 1063009041
- Kayla Jones, NP C Nurse Practitioner NPI 1750853271
- Joel Judah, MD Internal Medicine NPI 1215097852
- Elizabeth Lowry, PA-C Physician Assistant NPI 1285878165
- Daniel Penn, M.D. Internal Medicine NPI 1528143377
- Sarah Widener Nurse Practitioner NPI 1669367694
- Jennifer Wood, PA-C Physician Assistant NPI 1235302753
Specialties
-
Internal Medicine PrimaryAn 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...
Practice context
Multi-provider organization. 11 individual providers on file at this primary address. Plus 1 secondary practice location.
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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.