Organization Active NPI

Gastroenterology Consultants of Tuscaloosa LLC

  • Ambulatory Surgical Clinic/Center
  • Tuscaloosa, AL
National Provider Identifier
1275725673
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
U6302 Issued in AL
Legal business name
GASTROENTEROLOGY CONSULTANTS OF TUSCALOOSA LLC
Practice address
120 Rice Mine Rd N
Tuscaloosa, AL 35406-3901
Phone
(205) 345-0010
Fax
(205) 752-1175
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
David Manning
Title
Senior Vice President
Phone
(904) 226-0973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X U6302 AL Primary

Addresses

Primary practice location

120 Rice Mine Rd N
Tuscaloosa, AL 35406-3901

Mailing address

120 Rice Mine Rd N
Tuscaloosa, AL 35406-3901
Phone (205) 345-0010

Other identifiers 1

IdentifierTypeStateIssuer
E349OtherALMEDICARE GROUP

Other names 1

  • Tuscaloosa Endoscopy Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081205000178 AL Part B Supplier - Ambulatory Surgical Center 3779500798 Practice locations: Tuscaloosa, AL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Gastroenterology Consultants of Tuscaloosa IncCCN 01C0001024
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2160441Gastroenterology Consultants of Tuscaloosa Inc120 Rice Mine Road North, Tuscaloosa, AL 35406Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory

Locations

120 Rice Mine Rd N
Tuscaloosa, AL 35406
Phone (205) 345-0010

100 Rice Mine Rd N
Tuscaloosa, AL 35406
Phone (205) 342-2552

Practitioners & affiliated clinicians

Practitioners 9

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": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1275725673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 RICE MINE RD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354063901",
            "telephone_number": "205-345-0010",
            "fax_number": "205-752-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RICE MINE RD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354063901",
            "telephone_number": "205-345-0010",
            "fax_number": "205-752-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CONSULTANTS OF TUSCALOOSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "904-226-0973"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AL",
            "license": "U6302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "E349",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuscaloosa Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.