Active NPI
Atlanta Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Decatur, GA
National Provider Identifier
1639282932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ATLANTA ENDOSCOPY CENTER
- Practice address
- 2665 N Decatur Rd
Suite 545
Decatur, GA 30033-6149 - Phone
- (404) 296-1986
- Fax
- (404) 296-9890
- NPI assigned
- Aug 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Benjamin Rausher, M.D.
- Title
- Owner
- Phone
- (404) 296-1986
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | GA | Primary |
Addresses
Primary practice location
2665 N Decatur Rd
Suite 545
Decatur, GA 30033-6149
Mailing address
2665 N Decatur Rd
Suite 545
Decatur, GA 30033-6149
Phone (404) 296-1986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081201000294 | GA | Part B Supplier - Ambulatory Surgical Center | 4688734270 | Practice locations: Decatur, GA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Atlanta Endoscopy Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0944160 | Atlanta Endoscopy Center LTD | Certificate of waiver | Apr 7, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Decatur, GA
- NPI 1588653976
-
- Gastroenterology Physician
- Hiram, GA
- NPI 1497953467
-
- Specialist
- Decatur, GA
- NPI 1861481400
-
- Gastroenterology Physician
- Lawrenceville, GA
- NPI 1952350332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1639282932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2665 N DECATUR RD",
"address_2": "SUITE 545",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336149",
"telephone_number": "404-296-1986",
"fax_number": "404-296-9890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2665 N DECATUR RD",
"address_2": "SUITE 545",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336149",
"telephone_number": "404-296-1986",
"fax_number": "404-296-9890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTA ENDOSCOPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2023-03-07",
"certification_date": "2020-12-23",
"status": "A",
"authorized_official_last_name": "RAUSHER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "BENJAMIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-296-1986",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
- Atlanta Center for Gastroenterology, P.C.
- Atlanta Center for Medicine II PC
- Atlanta Counseling Connection
- Atlanta Digestive Center
- Atlanta Emergency Dentist LLC
- Atlanta Family Healthcare, LLC
- Atlanta Family Physicians PC
- Atlanta Functional & Integrative Medicine
- Atlanta Gynecology & Obstetrics P.C.
- Atlanta Gynecology & Obstetrics PC 2 LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.