Raleigh NC Endoscopy ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AS0056 Issued in NC

Legal business name

RALEIGH NC ENDOSCOPY ASC LLC

Practice address

4225 Macon Pond Rd Ste 100
Raleigh, NC 27607-6385

Phone

(919) 791-2060

Fax

(919) 791-2061

NPI assigned

Feb 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeffrey Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Raleigh Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Raleigh NC Endoscopy ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Holly Springs, NC
  • NPI 1114734506

  4789654971

  Same PAC ID
• Raleigh NC Endoscopy ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Cary, NC
  • NPI 1952518029

  4789654971

  Same PAC ID
• Raleigh NC Endoscopy ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Raleigh, NC
  • NPI 1972694982

  4789654971

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Raleigh NC Endoscopy ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Raleigh, NC
  • NPI 1972694982

  O20070125000111

  Same enrollment

Listed as

Raleigh Endoscopy Center MainCCN 34C0001039

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1487629044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156153",
            "telephone_number": "615-263-4011",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 MACON POND RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076385",
            "telephone_number": "919-791-2060",
            "fax_number": "919-791-2061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2417 Atrium Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076673",
            "country_code": "US",
            "telephone_number": "919-791-2060",
            "fax_number": "919-791-2061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RALEIGH NC ENDOSCOPY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NC",
            "license": "AS0056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00149328",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409934",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raleigh Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Raleigh Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raleigh Home Healthcare LLC
• Raleigh Infectious Diseases Associates PA
• Raleigh Medical Group, PA
• Raleigh Medical Supply, LLC
• Raleigh Meps
• Raleigh NC Endoscopy ASC LLC
• Raleigh Neck & Back Clinic PC
• Raleigh Neurology Associates PA
• Raleigh Neurology Associates, P. a.
• Raleigh Neurology Associates, P.a.

• Ambulatory Surgical Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.