GASTROENTEROLOGY ENDOSCOPY CENTER NPI 1306964853

NPI Information

NPI: 1306964853
Provider Name: GASTROENTEROLOGY ENDOSCOPY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D0942816

Address:
550 PEACHTREE ST NE
SUITE 1750
ATLANTA, GA
ZIP 30308
Phone: (404) 881-8800
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GASTROENTEROLOGY ENDOSCOPY CENTER is an ambulatory surgical clinic center in Atlanta, GA. GASTROENTEROLOGY ENDOSCOPY CENTER NPI is 1306964853. The provider is registered as an organization entity type.

The provider's business location address is:

550 PEACHTREE ST NE
SUITE 1750
ATLANTA, GA
ZIP 30308-263
Phone: (404) 881-8800
Fax: (404) 523-6791

The provider's authorized official is Leasa Burns .
The authorized official title is Practice Administrator and has the following contact phone number (404) 881-8253.

The CLIA number assigned to this NPI record is 11D0942816 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 10/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	060-149	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000783813A	MEDICAID	GEORGIA
2	111139ASCA	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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