Active NPI
Gastroenterology Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
National Provider Identifier
1306964853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 060-149
- Legal business name
- GASTROENTEROLOGY ENDOSCOPY CENTER
- Practice address
- 550 Peachtree St NE
Suite 1750
Atlanta, GA 30308-2263 - Phone
- (404) 881-8800
- Fax
- (404) 523-6791
- NPI assigned
- Mar 26, 2007
- Last updated
- Oct 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leasa Burns
- Title
- Practice Administrator
- Phone
- (404) 881-8253
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 060-149 | GA | Primary |
Addresses
Primary practice location
550 Peachtree St NE
Suite 1750
Atlanta, GA 30308-2263
Mailing address
550 Peachtree St NE
Suite 1750
Atlanta, GA 30308-2263
Phone (404) 881-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000783813A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041109001040 | GA | Part B Supplier - Ambulatory Surgical Center | 4385607456 | Practice locations: Atlanta, GA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Gastroenterology Endoscopy Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0942816 | Gastroenterology Endoscopy Center Inc | Certificate of waiver | Mar 17, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1366441438
-
- Specialist
- Lithonia, GA
- NPI 1942278015
-
- Specialist
- Atlanta, GA
- NPI 1639178866
-
- Gastroenterology Physician
- Yuba City, CA
- NPI 1073620217
-
- Gastroenterology Physician
- West Palm Beach, FL
- NPI 1750336814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349308800000",
"number": "1306964853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "SUITE 1750",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082263",
"telephone_number": "404-881-8800",
"fax_number": "404-523-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "SUITE 1750",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082263",
"telephone_number": "404-881-8800",
"fax_number": "404-523-6791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY ENDOSCOPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2012-10-04",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "LEASA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "404-881-8253"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "GA",
"license": "060-149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000783813A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Alexandra Paula Gastesi, DO
- Elizabeth Leigh Gaston, APRN
- Jeanette Gaston, NP
- Lindsey Michelle Gaston, DO
- Gastro Consultants of Atlanta PC
- Gastroenterology Medicine & Nutrition Clinic, PC
- Gates Rapid Diagnostic Laboratory of Atlanta
- Adam Whitney Gates, PHARMD
- Amanda Nicole Gates, BA
- Apryle Gates, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.