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

Southern Gastroenterology Specialists, PC

Organization Specialist · NPI 1952405052

Southern Gastroenterology Specialists, PC is a Specialist in Locust Grove, Georgia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4865 Bill Gardner Pkwy
Locust Grove, GA 30248-3644
Phone: (770) 692-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1952405052
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aruna Prakash — Secretory · (770) 692-0100
NPI enumeratedSeptember 11, 2006
Last updated in NPPESNovember 12, 2010
Mailing address4865 Bill Gardner Pkwy, Locust Grove, GA 30248-3644

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