West Georgia Endoscopy Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

022307 Issued in GA

Legal business name

WEST GEORGIA ENDOSCOPY CENTER

Practice address

160 Clinic Ave
Carrollton, GA 30117-4451

Phone

(770) 214-2800

Fax

(770) 834-3321

NPI assigned

Sep 28, 2006

Last updated

Jan 31, 2024By 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

John A Arledge, M.D.NPI 1639249675

Title

Medical Director

Phone

(770) 214-2800

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

West Georgia Endoscopy Center LLCCCN 11C0001259

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Tanner Medical Center, Inc.

  dba Tanner Boutique

  • Durable Medical Equipment & Medical Supplies
  • Carrollton, GA
  • NPI 1104850965

  Member Of

  NPD member

Locations

Practitioners 1

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.

• John Anthony Arledge, M.D.

  • Gastroenterology Physician
  • Carrollton, GA
  • NPI 1639249675
  NPD Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1306938550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CLINIC AVE",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174451",
            "telephone_number": "770-214-2800",
            "fax_number": "770-834-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CLINIC AVE",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174451",
            "telephone_number": "770-214-2800",
            "fax_number": "770-834-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GEORGIA ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "ARLEDGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-214-2800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "022307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387698079A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00269425",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Georgia Ambulance Inc
• West Georgia Cardiology Associates, PC
• West Georgia Center for Diabetes and Endocrinology
• West Georgia Center for Plastic Surgery, LLC (Plastic Surgery Center of West Georgia, LLC)
• West Georgia Derm Surgery Center
• West Georgia Eye Care
• West Georgia Gastroenterology Associates,PC
• West Georgia Healthcare
• West Georgia Healthcare for Women, P.C.
• West Georgia Internal Medicine PC

• Ambulatory Surgical Clinic/Center in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.