Gastroenterology Medicine & Nutrition Clinic, PC
NPI 1366625535 · Gastroenterology Physician · Atlanta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gastroenterology Medicine & Nutrition Clinic, PC is a Gastroenterology Physician organization in Atlanta, GA (NPI 1366625535).
Provider details
- NPI number
- 1366625535
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Layne, President(404) 681-0000
- License
- 021539 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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)
- 3200 Downwood Cir Nw Ste 340Atlanta, GA 30327-1605Phone: (404) 681-0000Fax: (404) 365-8354
Registry dates
- Enumerated
- 2007-12-11
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Frequently asked questions
- What is Gastroenterology Medicine & Nutrition Clinic, PC's NPI number?
- Gastroenterology Medicine & Nutrition Clinic, PC's National Provider Identifier (NPI) is 1366625535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gastroenterology Medicine & Nutrition Clinic, PC?
- Gastroenterology Medicine & Nutrition Clinic, PC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Gastroenterology Medicine & Nutrition Clinic, PC located?
- Gastroenterology Medicine & Nutrition Clinic, PC's practice location on file with NPPES is 3886 Princeton Lakes Way Sw Ste 120, Atlanta, GA 30331-5511.
- What is Gastroenterology Medicine & Nutrition Clinic, PC's phone number?
- The practice phone number listed in the NPPES registry for Gastroenterology Medicine & Nutrition Clinic, PC is (404) 681-0000.
- Does Gastroenterology Medicine & Nutrition Clinic, PC accept Medicare?
- Gastroenterology Medicine & Nutrition Clinic, PC 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 Gastroenterology Medicine & Nutrition Clinic, PC?
- The authorized official listed on Gastroenterology Medicine & Nutrition Clinic, PC's NPPES record is Edward Layne, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gastroenterology Medicine & Nutrition Clinic, PC's NPI active?
- Yes — Gastroenterology Medicine & Nutrition Clinic, PC's NPI (1366625535) is active in the NPPES registry as of the last update on 2025-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.