Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Advanced Gastroenterology Group

Organization Exclusive Provider Organization · NPI 1386670404

Advanced Gastroenterology Group is an Exclusive Provider Organization in Woodstock, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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Practice location Address checks out

4595 Towne Lake Pkwy Bldg 300 Ste 200
Woodstock, GA 30189-5514
Phone: (770) 509-0089
Fax: (678) 888-0642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X · Licence 030681 (GA)

Record details

NPI number1386670404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Jackson — Office Manager · (770) 509-0089
Other names Advanced Gastroenterology Group
NPI enumeratedJune 23, 2006
Last updated in NPPESApril 30, 2008
Mailing address4595 Towne Lake Pkwy, Bldg 300, Suite 200, Woodstock, GA 30189-5514