Digestive Healthcare of Georgia Endoscopy Center Mountainside

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DIGESTIVE HEALTHCARE OF GEORGIA ENDOSCOPY CENTER MOUNTAINSIDE

Practice address

3280 Howell Mill Rd NW Ste T150
Atlanta, GA 30327-4123

Phone

(404) 603-3543

Fax

(404) 350-8795

NPI assigned

Sep 16, 2008

Organization subpart

Yes

Parent organization

DIGESTIVE HEALTHCARE OF GEORGIA ENDOSCOPY CENTER LLCAs reported in NPPES

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

Authorized official

Name

Prof. Shelly M Robinson, PHD

Title

Director

Phone

(404) 603-3543

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Digestive Healthcare of Georgia Endoscopy Center Mountainside

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1861496564

  1355411927

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Digestive Healthcare of Georgia Endoscopy Center Mountainside

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1861496564

  O20080609000561, O20090319000064

  Same enrollment

Listed as

Digestive Healthcare of Georgia Endoscopy Center MountainsideCCN 11C0001329

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Tax ID family

Digestive Hlthcare of G2 organizations share this tax ID, including this one

Part of

Digestive Hlthcare of G

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Digestive Healthcare of Georgia Endoscopy Center Mountainside

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1861496564
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Piedmont Hospital, Inc

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1962461681

  Member Of

  NPD member

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1124277058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE T100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274122",
            "telephone_number": "404-603-3543",
            "fax_number": "404-350-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE T150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274123",
            "telephone_number": "404-603-3543",
            "fax_number": "404-350-8795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Mountainside Village Parkway",
            "address_2": "Bldg 500",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "GA",
            "postal_code": "301434895",
            "country_code": "US",
            "telephone_number": "706-253-7340",
            "fax_number": "706-253-7342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIGESTIVE HEALTHCARE OF GEORGIA ENDOSCOPY CENTER MOUNTAINSIDE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGESTIVE HEALTHCARE OF GEORGIA ENDOSCOPY CENTER LLC",
        "enumeration_date": "2008-09-16",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-603-3543",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400647725A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Digaetano
• Nicholas Digaetano, ATC
• Otobong Digbani, AGACNP-BC
• Digestive Care Consultants, LLC
• Digestive Healthcare of Ga, P.C.
• Digestive Healthcare of Georgia Endoscopy Center Mountainside
• Danesha Tiarra Diggs
• Jon Diggs, LPC
• Brenda Digiacomo, ANP-BC, FNP-BC
• Stefanie Digiandomenico, M.D.

• Ambulatory Surgical Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.