Colon and Rectal Clinic, LLC
NPI 1003243072 · Colon & Rectal Surgery Physician · Suwanee, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Colon and Rectal Clinic, LLC is a Colon & Rectal Surgery Physician organization in Suwanee, GA (NPI 1003243072).
Provider details
- NPI number
- 1003243072
- Entity type
- Organization
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kota Venkatesh, Owner(678) 296-5495
- License
- 062621 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 761 Walther Road Suite 300Lawrenceville, GA 30046-1224Phone: (770) 495-0799Fax: (770) 495-0783
Registry dates
- Enumerated
- 2013-10-04
- Last updated
- 2023-06-26
- Certified
- 2023-06-26
Frequently asked questions
- What is Colon and Rectal Clinic, LLC's NPI number?
- Colon and Rectal Clinic, LLC's National Provider Identifier (NPI) is 1003243072, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Colon and Rectal Clinic, LLC?
- Colon and Rectal Clinic, LLC is classified in the NPPES registry as Colon & Rectal Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Colon and Rectal Clinic, LLC located?
- Colon and Rectal Clinic, LLC's practice location on file with NPPES is 3905 Johns Creek Ct 200, Suwanee, GA 30024-1224.
- What is Colon and Rectal Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Colon and Rectal Clinic, LLC is (770) 495-0799.
- Does Colon and Rectal Clinic, LLC accept Medicare?
- Colon and Rectal Clinic, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Colon and Rectal Clinic, LLC?
- The authorized official listed on Colon and Rectal Clinic, LLC's NPPES record is Kota Venkatesh, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Colon and Rectal Clinic, LLC's NPI active?
- Yes — Colon and Rectal Clinic, LLC's NPI (1003243072) is active in the NPPES registry as of the last update on 2023-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.