Southeast Georgia Gastroenterology PC
NPI 1891912713 · Gastroenterology Physician · Waycross, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeast Georgia Gastroenterology PC is a Gastroenterology Physician organization in Waycross, GA (NPI 1891912713).
Provider details
- NPI number
- 1891912713
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ahmad Irfan, President(912) 284-1210
- License
- 041584 (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
19 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
- 2007-04-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southeast Georgia Gastroenterology PC's NPI number?
- Southeast Georgia Gastroenterology PC's National Provider Identifier (NPI) is 1891912713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Georgia Gastroenterology PC?
- Southeast Georgia Gastroenterology PC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Southeast Georgia Gastroenterology PC located?
- Southeast Georgia Gastroenterology PC's practice location on file with NPPES is 2003 Pioneer St # a, Waycross, GA 31501-6249.
- What is Southeast Georgia Gastroenterology PC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Georgia Gastroenterology PC is (912) 284-1210.
- Does Southeast Georgia Gastroenterology PC accept Medicare?
- Southeast Georgia Gastroenterology 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 Southeast Georgia Gastroenterology PC?
- The authorized official listed on Southeast Georgia Gastroenterology PC's NPPES record is Ahmad Irfan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Georgia Gastroenterology PC's NPI active?
- Yes — Southeast Georgia Gastroenterology PC's NPI (1891912713) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.