NORTHERN CRESCENT ENDOSCOPY SUITE LLC NPI 1548206493

NPI Information

NPI: 1548206493
Provider Name: NORTHERN CRESCENT ENDOSCOPY SUITE, LLC
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

CLIA Number: 11D0960967

Address:
5671 PEACHTREE DUNWOODY RD NE
SUITE 680
ATLANTA, GA
ZIP 30342
Phone: (404) 705-6985
Get Directions

NORTHERN CRESCENT ENDOSCOPY SUITE, LLC is an endoscopy clinic center in Atlanta, GA. NORTHERN CRESCENT ENDOSCOPY SUITE, LLC NPI is 1548206493. The provider is registered as an organization entity type.

The provider's business location address is:

5671 PEACHTREE DUNWOODY RD NE
SUITE 680
ATLANTA, GA
ZIP 30342-000
Phone: (404) 705-6985
Fax: (404) 851-9950

The provider's authorized official is Jana Baker .
The authorized official title is Administrator and has the following contact phone number (404) 888-7575.

The CLIA number assigned to this NPI record is 11D0960967 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 8/24/2011.

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	261QE0800X	Clinic/Center	Endoscopy			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
1	X45140	MEDICARE UPIN	GEORGIA
2	543655296A	MEDICAID	GEORGIA
3	111158ASCA	MEDICARE ID-TYPE UNSPECIFIED	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »