Newnan Endoscopy Center LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

NEWNAN ENDOSCOPY CENTER LLC

Practice address

1200 Lower Fayetteville Rd
Newnan, GA 30263

Phone

(404) 881-1094

NPI assigned

Sep 27, 2017

Last updated

Sep 27, 2017By 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

Steven J MorrisNPI 1538143847

Title

Ceo

Phone

(404) 881-1094

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Newnan Endoscopy Center LLCCCN 11C0001489

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 2

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.

• Steven J Morris, MD

  • Gastroenterology Physician
  • Atlanta, GA
  • NPI 1538143847
  Authorized official Same address or phone
• Anna Virginia Longacre, MD

  • Gastroenterology Physician
  • Marietta, GA
  • NPI 1831118405
  NPD (past)

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1376052928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE STE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LOWER FAYETTEVILLE RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30263",
            "telephone_number": "404-881-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWNAN ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-881-1094"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Smith Nestlehutt, MPT
• Candice Norkee Nettles, BSN,RN,IBCLC
• Nathan J Neufeld, D.O.
• Newnan Anesthesia Associates, LLC
• Newnan Center for Foot and Ankle Surgery, LLC
• Newnan Family Medicine Associates
• Newnan Family Medicine Associates PC
• Newnan Healthcare Services, LLC (Treatment Center of Newnan)
• Newnan Hospital
• Newnan Hospital (Newnan Hospital Pharmacy)

• Endoscopy Clinic/Center in Newnan, GA
• Providers in Newnan, 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 Sep 27, 2017; 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.