Athens Digestive Endoscopy Center

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

ATHENS DIGESTIVE ENDOSCOPY CENTER

Practice address

1360 Caduceus Way
Building 300
Watkinsville, GA 30677-7300

Phone

(706) 850-4985

Fax

(706) 850-4989

NPI assigned

Feb 5, 2015

Organization subpart

No

Name

Dr. Asif Mian Qadri, M.D.NPI 1225232531

Title

Medical Director

Phone

(706) 850-4985

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Asif Mian Qadri, M.D.

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1225232531

  GA

  Medicare reassignment NPD Authorized official

Listed as

Athens Digestive Endoscopy CenterCCN 11C0001457

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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 7, 2020.

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1356732804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 CADUCEUS WAY, BUILDING 300",
            "address_2": "SUITE 101",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777300",
            "telephone_number": "706-850-4985",
            "fax_number": "706-850-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 CADUCEUS WAY",
            "address_2": "BUILDING 300",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777300",
            "telephone_number": "706-850-4985",
            "fax_number": "706-850-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS DIGESTIVE ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "QADRI",
        "authorized_official_first_name": "ASIF",
        "authorized_official_middle_name": "MIAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "706-850-4985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athens Area Pediatric Dentistry, P.C.
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• Athens Dental Group LLC
• Athens Dermatology Group PC
• Athens Digestive Healthcare Associates
• Athens Eye Associates
• Athens GPR LLC
• Athens Oconee Audiology LLC
• Athens Orthopedic Clinic, PA

• All providers in Watkinsville, GA
• Endoscopy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.