Organization Active NPI

Atlantic Gastroenterology Endoscopy Center, PA

  • Ambulatory Surgical Clinic/Center
  • Greenville, NC
National Provider Identifier
1235189739
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ATLANTIC GASTROENTEROLOGY ENDOSCOPY CENTER, PA
Practice address
2465 Emerald PL
Greenville, NC 27834-5785
Phone
(252) 758-2424
Fax
(252) 758-0424
NPI assigned
May 12, 2006
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Thomas M. Sturgis, MDNPI 1942258231
Title
President
Phone
(252) 758-2424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2465 Emerald PL
Greenville, NC 27834-5785

Mailing address

2465 Emerald PL
Greenville, NC 27834-5785
Phone (252) 758-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061020000512 NC Part B Supplier - Ambulatory Surgical Center 4082611785 Receives reassigned benefits from 5 practitioners
Practice locations: Greenville, NC

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Atlantic Gastroenterology EndoscopyCCN 34C0001126
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1235189739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 EMERALD PL",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345785",
            "telephone_number": "252-758-2424",
            "fax_number": "252-758-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 EMERALD PL",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345785",
            "telephone_number": "252-758-2424",
            "fax_number": "252-758-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC GASTROENTEROLOGY ENDOSCOPY CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "STURGIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-758-2424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.