Organization Active NPI

Gastroenterology Associates PA

  • Ambulatory Surgical Clinic/Center
  • Hickory, NC
National Provider Identifier
1154442630
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
34C0001119 Issued in NC
Legal business name
GASTROENTEROLOGY ASSOCIATES PA
Practice address
415 N Center St Ste 300
Hickory, NC 28601-5036
Phone
(828) 328-3300
Fax
(828) 624-0365
NPI assigned
Apr 3, 2007
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Stacey Coffey
Title
Ceo
Phone
(828) 328-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 34C0001119 NC Primary

Addresses

Primary practice location

415 N Center St Ste 300
Hickory, NC 28601-5036

Mailing address

415 N Center St Ste 300
Hickory, NC 28601-5036
Phone (828) 328-3300

Other identifiers 1

IdentifierTypeStateIssuer
34C0001119OtherNCNC STATE LICENSE NUMBER

Other names 1

  • Gastroenterology Associates Endoscopy Unit Other name

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Gastroenterology Associates PACCN 34C0001119
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1470 E Gaston St
Ste 600
Lincolnton, NC 28092
Phone (704) 732-8736

Interoperability endpoints

  • FHIR API: https://854c360c-ccd0-490c-b032-f0f87442ff0a.gastro.prod.fhir.ema-api.com/fhir/r4/

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1154442630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N CENTER ST STE 300",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015036",
            "telephone_number": "828-328-3300",
            "fax_number": "828-328-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CENTER ST STE 300",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015036",
            "telephone_number": "828-328-3300",
            "fax_number": "828-624-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-328-3300"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NC",
            "license": "34C0001119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE LICENSE NUMBER",
            "identifier": "34C0001119",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastroenterology Associates Endoscopy Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.