Organization Active NPI

Gi Care for Kids Endoscopy Center

  • Endoscopy Clinic/Center
  • Atlanta, GA
National Provider Identifier
1053559542
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
GI CARE FOR KIDS ENDOSCOPY CENTER
Practice address
993 Johnson Ferry Rd NE # D
Suite 100
Atlanta, GA 30342-1620
Phone
(404) 257-0799
Fax
(404) 503-2280
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lauri Gebhart
Title
Administrator
Phone
(404) 503-2271

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0206X
Endoscopy Clinic/Center 261QE0800X Primary

Addresses

Primary practice location

993 Johnson Ferry Rd NE # D
Suite 100
Atlanta, GA 30342-1620

Mailing address

993 Johnson Ferry Rd NE # D
Suite 100
Atlanta, GA 30342-1620
Phone (404) 257-0799

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1105860Gi Care for Ids Endoscopy Center LLC993D Johnson Ferry Road Suite 100, Atlanta, GA 30342Certificate of waiverSep 29, 2027

National Provider Directory

National Provider Directory

Locations

993 Johnson Ferry Rd
#100
Sandy Springs, GA 30342

993 Johnson Ferry Rd
Ste D100
Sandy Springs, GA 30342
Phone (404) 303-4625

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1053559542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY RD NE # D",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421620",
            "telephone_number": "404-257-0799",
            "fax_number": "404-503-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY RD NE # D",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421620",
            "telephone_number": "404-257-0799",
            "fax_number": "404-503-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI CARE FOR KIDS ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "GEBHART",
        "authorized_official_first_name": "LAURI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-503-2271"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.