Organization Active NPI

North Fulton Diagnostic Gastrointestinal Center

Doing business as North Fulton Endoscoy Center

  • Endoscopy Clinic/Center
  • Roswell, GA
National Provider Identifier
1487639100
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
060091 Issued in GA
Legal business name
NORTH FULTON DIAGNOSTIC GASTROINTESTINAL CENTER
Doing business as
North Fulton Endoscoy Center
Practice address
1340 Upper Hembree Rd
Roswell, GA 30076-0927
Phone
(678) 762-0676
Fax
(678) 762-7980
NPI assigned
Dec 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Jana Baker
Title
Administrator
Phone
(404) 888-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 060091 GA Primary

Addresses

Primary practice location

1340 Upper Hembree Rd
Roswell, GA 30076-0927

Mailing address

550 Peachtree St NE
Suite 1600
Atlanta, GA 30308-2208
Phone (404) 888-7575

Other names 1

  • North Fulton Endoscoy Center Doing business as

National Provider Directory

National Provider Directory

Locations

1340 Upper Hembree Rd
Roswell, GA 30076
Phone (678) 762-0676

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1487639100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082208",
            "telephone_number": "404-888-7575",
            "fax_number": "404-885-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 UPPER HEMBREE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760927",
            "telephone_number": "678-762-0676",
            "fax_number": "678-762-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FULTON DIAGNOSTIC GASTROINTESTINAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-888-7575"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "GA",
            "license": "060091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Fulton Endoscoy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.