Aga Professional Services, LLC
NPI 1063799120ActiveOrganization· Internal Medicine, Gastroenterology· Atlanta, GA
Internal Medicine, Gastroenterology in Atlanta, Georgia, registered in NPPES in November 2011, part of Northside Hospital. The authorized official on file is Amy E. Fouts, Chief Compliance Officer. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1063799120 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Northside Hospital |
| NPI issued | Nov 3, 2011 |
| Last updated in NPPES | Jun 9, 2026 |
| Certified by provider | Jun 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (NC) |
|---|
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