Athens Gastroenterology Endoscopy Center Inc

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

ATHENS GASTROENTEROLOGY ENDOSCOPY CENTER INC

Practice address

3320 Old Jefferson Rd
Building 400
Athens, GA 30607-1400

Phone

(706) 613-1625

Fax

(706) 613-1629

NPI assigned

Mar 15, 2010

Last updated

Oct 25, 2023By 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

Dr. Jeffrey M Williams, M.D.NPI 1407822158

Title

Ceo

Phone

(706) 613-1625

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Athens Gastroenterology Endoscopy CenterCCN 11C0001351

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DFDFDD

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.

• Jeffrey M Williams, MD

  • Gastroenterology Physician
  • Athens, GA
  • NPI 1407822158
  NPD Authorized official

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1356665681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD",
            "address_2": "BUILDING 400",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-613-1625",
            "fax_number": "706-613-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD",
            "address_2": "BUILDING 400",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-613-1625",
            "fax_number": "706-613-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS GASTROENTEROLOGY ENDOSCOPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-613-1625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athens Family Medicine LLC
• Athens Free Clinic
• Athens Ga Homecare, LLC
• Athens Gastroenterology Association
• Athens Gastroenterology Center,PC
• Athens General & Colorectal Surgeons, PC
• Athens Geriatrics and Internal Medicine, PC
• Athens Gynecology PC (Eastside Gynecology)
• Athens Hand Therapy LLC
• Athens Hand Therapy LLC

• Endoscopy Clinic/Center in Athens, GA
• Providers in Athens, GA by specialty
• Endoscopy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.