CMS-1500 Box 24J / 33a • NPI
1407147028
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RG0100X (CMS 10)
Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)
Box 32 Service Location & ZIP+4
1139 LEXINGTON AVE, SAVANNAH, GA, 31404-5502
✓ 9-Digit EDI 837 ZIP+4 (31404-5502)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1407147028 (BRENT WILLIAM ACKER, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1407147028)
Medicare Beneficiaries
323
Total Billed Services
3,824
Distinct CPT/HCPCS Codes
41
Medicare Allowed Total
$149,929.65
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1407147028 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BRENT WILLIAM ACKER, MD |
| Plain-English Specialty | Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) NUCC Code: 207RG0100X (Internal Medicine, Gastroenterology) |
| Certifying / Licensing Body | American Board of Internal Medicine — Gastroenterology |
| Practice Location Address | 1139 LEXINGTON AVE, SAVANNAH, GA, 31404-5502 |
| Practice Telephone / Fax | Tel: (912) 303-4200 | Fax: (912) 790-2701 |
| Administrative Mailing Address | 1139 LEXINGTON AVE, SAVANNAH, GA, 31404-5502 |
| Enumeration & Last Sync | Enumerated: 2011-04-30 | CMS Record Updated: 2022-08-17 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RG0100X)
What Does Taxonomy Code 207RG0100X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RG0100X translates to:
"Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BRENT WILLIAM ACKER, MD)
Typical CPT / Diagnostic Procedures:- Screening & Diagnostic Colonoscopy with Polypectomy (CPT 45378–45385)
- Esophagogastroduodenoscopy / Upper GI Endoscopy (EGD — CPT 43239)
- Hepatic Elastography (FibroScan) & Fractionated Bilirubin/LFT Workup
- Internal Hemorrhoid Banding & Anorectal Diagnostic Evaluation
- Proton Pump Inhibitors (Omeprazole, Pantoprazole, Esomeprazole)
- H. pylori Quadruple & Triple Eradication Regimens
- Mesalamine & Biologic Immunomodulators (Inflammatory Bowel Disease)
- Osmotic Laxatives, Rifaximin & Ursodeoxycholic Acid
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: AL | License: MD.33510 | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: GA | License: 77511 | Primary: Secondary |
207RG0100X — Internal Medicine, GastroenterologyPlain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) | State: GA | License: 77511 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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