CENTER FOR DIGESTIVE HEALTH LLC NPI 1538110713

NPI Information

NPI: 1538110713
Provider Name: CENTER FOR DIGESTIVE HEALTH LLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
CLIA Number: 25D0991814
Address: 589 GARFIELD ST
TUPELO, MS
ZIP 38801
Phone: (662) 680-5565

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NPI Details

CENTER FOR DIGESTIVE HEALTH LLC is an ambulatory surgical clinic center in Tupelo, MS. CENTER FOR DIGESTIVE HEALTH LLC NPI is 1538110713. The provider is registered as an organization entity type.

The provider's business location address is:

589 GARFIELD ST
TUPELO, MS
ZIP 38801-301
Phone: (662) 680-5565
Fax: (662) 680-5654

The provider's authorized official is Teresa Ellis .
The authorized official title is Office Manager and has the following contact phone number (662) 680-5565.

The CLIA number assigned to this NPI record is 25D0991814 - other with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
Dilation of esophagus (HCPCS:43450)
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
Tying of dilated veins of stomach and/or esophagus using a flexible endoscope (HCPCS:43244)
Biopsy of lower large bowel using a flexible endoscope (HCPCS:45331)
Destruction of polyp or growth of large bowel using a flexible endoscope (HCPCS:45388)
Diagnostic exam of lower portion of large bowel using a flexible endoscope (HCPCS:45330)
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
Dilation of stomach outlet using a flexible endoscope (HCPCS:43245)
Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43270)
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43255)
Control of bleeding of upper large bowel using a flexible endoscope (HCPCS:45382)

The enumeration date for this NPI number is 5/13/2006 and was last updated on 10/10/2008.

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	25C0001058	MISSISSIPPI	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	03208889	MEDICAID	MISSISSIPPI
2	490000057	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI

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: 3/30/2025

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