Gastro South, LLC
NPI 1790440204 · Gastroenterology Physician · Macon, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gastro South, LLC is a Gastroenterology Physician organization in Macon, GA (NPI 1790440204).
Provider details
- NPI number
- 1790440204
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joel Judah, Managing Member(706) 495-5718
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
4 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)
- 249-A Sheraton BlvdMacon, GA 31210Phone: (706) 495-5718
Registry dates
- Enumerated
- 2021-11-01
- Last updated
- 2021-11-01
- Certified
- 2021-10-13
Frequently asked questions
- What is Gastro South, LLC's NPI number?
- Gastro South, LLC's National Provider Identifier (NPI) is 1790440204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gastro South, LLC?
- Gastro South, LLC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Gastro South, LLC located?
- Gastro South, LLC's practice location on file with NPPES is 240 Sheraton Blvd, Macon, GA 31210-1358.
- What is Gastro South, LLC's phone number?
- The practice phone number listed in the NPPES registry for Gastro South, LLC is (706) 495-5718.
- Does Gastro South, LLC accept Medicare?
- Gastro South, 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 Gastro South, LLC?
- The authorized official listed on Gastro South, LLC's NPPES record is Joel Judah, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gastro South, LLC's NPI active?
- Yes — Gastro South, LLC's NPI (1790440204) is active in the NPPES registry as of the last update on 2021-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.