Gsg West LLC
Internal Medicine, Gastroenterology in Lawrenceville, GA. Organization (NPI-2).
Details
- NPI
- 1174480321
- Entity type
- Organization (NPI-2)
- Legal business name
- Gsg West LLC
- Organization subpart
- No
- Enumeration date
- Jan 8, 2026
- Certification date
- Jan 8, 2026
- Last updated
- Jan 8, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | – | – | Yes |
Practice location
721 Wellness Way Ste 100Lawrenceville, GA 30046-3304
Phone 770-995-3113 · Fax 770-277-2930
Mailing address
721 Wellness Way Ste 100Lawrenceville, GA 30046-3304
Phone 770-995-3113 · Fax 770-277-2930
Authorized official
William Gordon Tanner
Owner
7709953113
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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