East Atlanta Endoscopy Centers, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EAST ATLANTA ENDOSCOPY CENTERS, LLC

Practice address

1269 Wellbrook Cir NE
Conyers, GA 30012-3873

Phone

(770) 922-0505

Fax

(770) 922-1870

NPI assigned

Jun 2, 2017

Last updated

Mar 17, 2018By 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

Jenetha D Moran

Title

Officer / Authorized Official

Phone

(972) 763-3893

Specialties & licenses 1

Addresses

Tax ID family

East Atlanta Endoscopy Centers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• East Atlanta Endoscopy Centers, LLC

  • Ambulatory Surgical Clinic/Center
  • Covington, GA
  • NPI 1114440963
  NPD tax ID

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1558899682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15305 DALLAS PKWY STE 1600",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016491",
            "telephone_number": "972-763-3893",
            "fax_number": "972-692-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 WELLBROOK CIR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123873",
            "telephone_number": "770-922-0505",
            "fax_number": "770-922-1870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7229 Wheat St NE",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300141566",
            "country_code": "US",
            "telephone_number": "678-625-5132",
            "fax_number": "678-625-5137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST ATLANTA ENDOSCOPY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JENETHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3893"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle RX LLC (Eagle Pharmacy)
• Ear, Nose and Throat Specialists, LLC
• Jeffrey Alan Easley
• East Atlanta Cardiology LLC
• East Atlanta Endodontics & Microsurgery, PC
• East Conyers Behavioral Health Clinic
• East Georgia Eyecare LLC
• East Metro Emt Services LLC
• East Metro Internal Medicine
• East Metro Wellness Center, LLC

• Ambulatory Surgical Clinic/Center in Conyers, GA
• Providers in Conyers, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.