Gi Diagnostics Endoscopy Center, LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

6800013 Issued in GA

Legal business name

GI DIAGNOSTICS ENDOSCOPY CENTER, LLC

Practice address

2550 Windy Hill Rd SE
Ste. 302
Marietta, GA 30067-8665

Phone

(770) 226-9070

Fax

(770) 951-9016

NPI assigned

Mar 3, 2006

Last updated

Jan 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracy L Jones

Title

Senior Manager, Business Operations

Phone

(678) 819-4295

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Gi Diagnostic Endoscopy CenterCCN 11C0001146

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

Locations

Interoperability endpoints

• Direct secure messaging: credentialing@gigeorgia.com

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Myer Shea, MD

  • Gastroenterology Physician
  • Boise, ID
  • NPI 1316263601

  GA

  Medicare reassignment NPD
• Anuj P Manocha, MD

  • Gastroenterology Physician
  • Douglasville, GA
  • NPI 1285607580
  NPD
• Gina Gatti

  • Certified Registered Nurse Anesthetist
  • Columbus, GA
  • NPI 1528371481
  NPD (past)
• Suku George, MD., MPH.

  • Gastroenterology Physician
  • Marietta, GA
  • NPI 1619952777
  NPD (past)
• Muhammad Sohail Mansoor, M.D.

  • Gastroenterology Physician
  • Marietta, GA
  • NPI 1225383797
  NPD (past)
• Tanika M Oglesby, PAAA

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
  • NPI 1881928232
  NPD (past)
• John D Sexton, CRNA

  • Certified Registered Nurse Anesthetist
  • Sharpsburg, GA
  • NPI 1649345992
  NPD (past)
• Shawn A Chaudhary, M.D.

  • Gastroenterology Physician
  • Burnt Hills, NY
  • NPI 1285808618
  NPD (past)
• Jessica Ginn, CRNA

  • Certified Registered Nurse Anesthetist
  • Memphis, TN
  • NPI 1891010385
  NPD (past)
• Umangi Harshad Patel, M.D.

  • Gastroenterology Physician
  • Dallas, TX
  • NPI 1649415951
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1205803699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 CANTON RD NE STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608949",
            "telephone_number": "678-741-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE",
            "address_2": "STE. 302",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678665",
            "telephone_number": "770-226-9070",
            "fax_number": "770-951-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI DIAGNOSTICS ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR MANAGER, BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "678-819-4295"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "GA",
            "license": "6800013",
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003119778A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000805384A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@gigeorgia.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "711 Canton Rd NE Ste 300",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300608949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@gigeorgia.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "711 Canton Rd NE Ste 300",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300608949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roberto Gerjoi, D.C.
• Al Wynne Querubin Gesite, P.T.
• Get Ready Baby, LLC
• Mayssoun Ghawi
• Christine Ghilain, PHD
• Annamarie Giangiacomo
• Melissa Giannamore
• Timothy Giannoni, ED.D, MS
• Deborah Lee Giannotti, PT
• Andrea Gibson, NP

• Endoscopy Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Endoscopy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.