Digestive Health Specialists, PA

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AS0099 Issued in NC

Legal business name

DIGESTIVE HEALTH SPECIALISTS, PA

Practice address

2025 Frontis Plaza Blvd
Suite 200
Winston Salem, NC 27103-5663

Phone

(336) 768-6211

Fax

(336) 768-6869

NPI assigned

Jun 5, 2008

Last updated

May 17, 2017By 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

Jacquelyn Tillinger

Title

Ceo

Phone

(336) 768-6211

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

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

• Digestive Health Specialists, PA

  • Ambulatory Surgical Clinic/Center
  • Advance, NC
  • NPI 1538411145

  6507849601

  Same PAC ID
• Digestive Health Specialists, PA

  • Gastroenterology Physician
  • Winston Salem, NC
  • NPI 1801837745

  6507849601

  Same PAC ID
• Digestive Health Specialists, PA

  • Ambulatory Surgical Clinic/Center
  • King, NC
  • NPI 1912476367

  6507849601

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

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

• Digestive Health Specialists, PA

  • Ambulatory Surgical Clinic/Center
  • Kernersville, NC
  • NPI 1184976797

  O20070922000071

  Same enrollment
• Digestive Health Specialists, PA

  • Ambulatory Surgical Clinic/Center
  • Thomasville, NC
  • NPI 1487090452

  O20070922000071

  Same enrollment

Locations

Practitioners 5

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.

• Tilak Raj Baba

  • Internal Medicine Physician
  • Winston Salem, NC
  • NPI 1093058307
  Medicare reassignment NPD
• Stacey Jefferson Coats, NP

  • Nurse Practitioner
  • Winston Salem, NC
  • NPI 1548934847
  Medicare reassignment NPD
• Jeremy Thomas Gillespie, M.D.

  • Internal Medicine Physician
  • Winston Salem, NC
  • NPI 1407146319
  Medicare reassignment NPD
• Austin Clay Pope, PA

  • Physician Assistant
  • Winston Salem, NC
  • NPI 1518630581
  Medicare reassignment NPD
• Neal Sharma, MD

  • Gastroenterology Physician
  • Winston Salem, NC
  • NPI 1902225535
  Medicare reassignment NPD

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494979200000",
    "number": "1306005343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 FRONTIS PLAZA BLVD",
            "address_2": "SUITE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035663",
            "telephone_number": "336-768-6211",
            "fax_number": "336-768-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 FRONTIS PLAZA BLVD",
            "address_2": "SUITE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035663",
            "telephone_number": "336-768-6211",
            "fax_number": "336-768-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE HEALTH SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2017-05-17",
        "status": "A",
        "authorized_official_last_name": "TILLINGER",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-768-6211"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NC",
            "license": "AS0099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409955",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306005343",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicitas Lourdes Dickson, M.D.
• George Dicola I, ST
• Kevin Charles Diehl, MD
• Lucas Alan Dietrich, PA
• Trent Walker Dietsche, DO
• Digestive Health Specialists, PA
• Ashley Diggs
• Carliss Diggs
• Supreme Essence Diggs
• Digitrace Care Services Inc

• Ambulatory Surgical Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.