NPIMap

Organization Active NPI

Carolina Gastroenterology Specialists PLLC

  • Ambulatory Surgical Clinic/Center
  • Wilson, NC
National Provider Identifier
1063667020
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
AS0112 Issued in NC
Legal business name
CAROLINA GASTROENTEROLOGY SPECIALISTS PLLC
Practice address
3520 Airport Blvd NW Ste F
Wilson, NC 27896-8674
Phone
(252) 206-5622
Fax
(252) 206-5623
NPI assigned
Nov 18, 2008
Organization subpart
Yes
Parent organization
CAROLINA GASTROENTEROLOGY SPECIALISTS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Venkatesh LakshmanNPI 1457446312
Title
Owner Medical Director
Phone
(252) 206-5622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X AS0112 NC Primary

Addresses

Primary practice location

3520 Airport Blvd NW Ste F
Wilson, NC 27896-8674

Mailing address

3520 Airport Blvd NW Ste F
Wilson, NC 27896-8674
Phone (252) 206-5622

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
CGS Endoscopy Center PLLCCCN 34C0001157
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Carolina Gastroenterology Specialists PLLC

Locations

3520 Airport Blvd NW
Ste F
Wilson, NC 27896
Phone (252) 206-5622

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1063667020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 AIRPORT BLVD NW STE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968674",
            "telephone_number": "252-206-5622",
            "fax_number": "252-206-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 AIRPORT BLVD NW STE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968674",
            "telephone_number": "252-206-5622",
            "fax_number": "252-206-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA GASTROENTEROLOGY SPECIALISTS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA GASTROENTEROLOGY SPECIALISTS PLLC",
        "enumeration_date": "2008-11-18",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "LAKSHMAN",
        "authorized_official_first_name": "VENKATESH",
        "authorized_official_title_or_position": "OWNER MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "252-206-5622"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NC",
            "license": "AS0112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.