Organization Active NPI

Gastroenterology Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
National Provider Identifier
1306964853
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
060-149 Issued in GA
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000783813AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CenterCCN 11C0001139
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
11D0942816Gastroenterology Endoscopy Center Inc550 Peachtree Street North East, Suite 1750, Atlanta, GA 30308Certificate of waiverMar 17, 2028

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.