Clarke County Endoscopy Center LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

CLARKE COUNTY ENDOSCOPY CENTER LLC

Doing business as

Athens Clarke County Endoscopy Center

Practice address

340 N Milledge Ave
Athens, GA 30601

Phone

(404) 888-7575

NPI assigned

Aug 12, 2015

Organization subpart

No

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

Authorized official

Name

Jana Baker

Title

Adminstrator

Phone

(404) 888-7575

Specialties & licenses 1

Addresses

Other names 1

• Athens Clarke County Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Clarke County Endoscopy Center Dba Athens Clarke County Endoscopy CenterCCN 11C0001455

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

Practitioners 2

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

• Cinthana Kandasamy, MD

  • Gastroenterology Physician
  • Athens, GA
  • NPI 1093372690
  Medicare reassignment NPD
• Michael Everett Conner, MD

  • Hospitalist Physician
  • New Orleans, LA
  • NPI 1336644459

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1588030704",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N MILLEDGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30601",
            "telephone_number": "404-888-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKE COUNTY ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "404-888-7575"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athens Clarke County Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clarke County Department of Health
• Clarke County Department of Health (Specialty Care Cllinic)
• Clarke County Department of Health
• Clarke County Department of Health (Clarke County Health Department)
• Clarke County Department of Health (East Athens Clinic)
• Clarke County School System
• Clarke Middle Health Center
• Clarke Oconee Family Medicine, LLC
• Al Clarke, PHD
• Classic City Anesthesia Associates

• Endoscopy Clinic/Center in Athens, GA
• Providers in Athens, 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 Feb 17, 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.