Southern Gastroenterology Associates, Llc - Medicare Primary Care in Lawrenceville, GA

Southern Gastroenterology Associates, Llc is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in Lawrenceville, Georgia. The current practice location for Southern Gastroenterology Associates, Llc is 763 Old Norcross Rd, Lawrenceville, Georgia. For appointments, you can reach them via phone at (678) 985-2000. The mailing address for Southern Gastroenterology Associates, Llc is 763 Old Norcross Rd, Lawrenceville, Georgia and phone number is (678) 985-2000.

Southern Gastroenterology Associates, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205886504. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (678) 985-2000.

Contact Information

Southern Gastroenterology Associates, Llc
763 Old Norcross Rd
Lawrenceville
GA 30045-4317
(678) 985-2000
(678) 985-1999

Primary Care Clinic Profile

Full NameSouthern Gastroenterology Associates, Llc
SpecialityInternal Medicine
Location763 Old Norcross Rd, Lawrenceville, Georgia
Authorized Official Name and PositionMark B. Kukler (OWNER)
Authorized Official Contact6789852000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southern Gastroenterology Associates, Llc
763 Old Norcross Rd
Lawrenceville
GA 30045-4317

Ph: (678) 985-2000
Southern Gastroenterology Associates, Llc
763 Old Norcross Rd
Lawrenceville
GA 30045-4317

Ph: (678) 985-2000

NPI Details:

NPI Number1205886504
Provider Enumeration Date05/10/2006
Last Update Date05/30/2012

Medicare PECOS Information:

Medicare PECOS PAC ID8820084064
Medicare Enrollment IDO20040422000946

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Medical Identifiers

Medical identifiers for Southern Gastroenterology Associates, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205886504NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southern Gastroenterology Associates, Llc acts as a billing entity for following providers:
Provider NameTanya M Rutledge
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1952350332
PECOS PAC ID: 6103805288
Enrollment ID: I20040714000756

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Provider NameRobert K Wade
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1114911054
PECOS PAC ID: 0143288555
Enrollment ID: I20041230000432

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Provider NameAlthea H Mcphail
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1508826215
PECOS PAC ID: 2163587635
Enrollment ID: I20090217000277

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Provider NameScott W Schorr
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1275583437
PECOS PAC ID: 1658443296
Enrollment ID: I20101020000721

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Provider NameArvind A Kulkarni
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1548210859
PECOS PAC ID: 7911079553
Enrollment ID: I20101020001007

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Provider NameMark B Kukler
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1093765265
PECOS PAC ID: 6002988649
Enrollment ID: I20101027000231

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Provider NameMarcelle M Owens
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1295785814
PECOS PAC ID: 4284706821
Enrollment ID: I20101101000910

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Provider NameAmil Patel
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1952588394
PECOS PAC ID: 5193987329
Enrollment ID: I20130325000351

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Provider NameStephen Beasley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568897668
PECOS PAC ID: 4789934589
Enrollment ID: I20201118002462

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Provider NameTariq I Salim
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1598293326
PECOS PAC ID: 2567731789
Enrollment ID: I20231122002621

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Internal Medicine in Lawrenceville, GA

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Raymond L. Stovall, M.d., P.c.
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Medicare: Medicare Enrolled
Practice Location: 600 Professional Dr, Suite 150, Lawrenceville, GA 30045
Phone: 678-376-1800    Fax: 678-376-5500
Physicians Pointe
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043
Phone: 770-339-5999    Fax: 770-277-9159
Carehere Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 750 S Perry St Ste 200, Lawrenceville, GA 30046
Phone: 877-423-1330    
Bennett H. Bruckner,m.d., P.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 575 Professional Dr, Suite 290, Lawrenceville, GA 30045
Phone: 770-962-9410    Fax: 770-962-8489
Metabolic Health Of Lawrenceville
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Medicare: Medicare Enrolled
Practice Location: 720 Old Snellville Hwy Ste 150, Lawrenceville, GA 30044
Phone: 678-431-1119    
Sugarloaf Primary Care
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Medicare: Not Enrolled in Medicare
Practice Location: 4835 Sugarloaf Pkwy, Suite 300, Lawrenceville, GA 30044
Phone: 407-375-5940    Fax: 407-375-5952

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