Southern Gastroenterology Associates, LLC
NPI 1205886504 · Gastroenterology Physician · Lawrenceville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Gastroenterology Associates, LLC is a Gastroenterology Physician organization in Lawrenceville, GA (NPI 1205886504).
Provider details
- NPI number
- 1205886504
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Kukler, Owner(678) 985-2000
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
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2012-05-30
Frequently asked questions
- What is Southern Gastroenterology Associates, LLC's NPI number?
- Southern Gastroenterology Associates, LLC's National Provider Identifier (NPI) is 1205886504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Gastroenterology Associates, LLC?
- Southern Gastroenterology Associates, LLC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Gastroenterology Associates, LLC located?
- Southern Gastroenterology Associates, LLC's practice location on file with NPPES is 763 Old Norcross Rd, Lawrenceville, GA 30045-4317.
- What is Southern Gastroenterology Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Gastroenterology Associates, LLC is (678) 985-2000.
- Does Southern Gastroenterology Associates, LLC accept Medicare?
- Southern Gastroenterology Associates, 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 Southern Gastroenterology Associates, LLC?
- The authorized official listed on Southern Gastroenterology Associates, LLC's NPPES record is Mark Kukler, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Gastroenterology Associates, LLC's NPI active?
- Yes — Southern Gastroenterology Associates, LLC's NPI (1205886504) is active in the NPPES registry as of the last update on 2012-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.