NPIMap

Organization Active NPI

Digestive Disease Endoscopy Center Inc.

  • Endoscopy Clinic/Center
  • Nashville, TN
National Provider Identifier
1760464036
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
0000000006 Issued in TN
Legal business name
DIGESTIVE DISEASE ENDOSCOPY CENTER INC.
Practice address
222 22ND Ave N
3Rd Floor
Nashville, TN 37203-1852
Phone
(629) 255-2154
Fax
(629) 255-3075
NPI assigned
Nov 14, 2005
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Crystie R Stauss
Title
Physician Services Manager
Phone
(629) 255-2620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 0000000006 TN Primary

Addresses

Primary practice location

222 22ND Ave N
3Rd Floor
Nashville, TN 37203-1852

Mailing address

222 22ND Ave N
3Rd Floor
Nashville, TN 37203-1852
Phone (629) 255-2620

Other identifiers 1

IdentifierTypeStateIssuer
3287240MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050711000381 TN Part B Supplier - Ambulatory Surgical Center 7911933122 Practice locations: Nashville, TN

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Digestive Disease Endoscopy Center IncCCN 44C0001023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1091105Digestive Disease Endoscopy Center222 22ND Avenue N Suite 300, Nashville, TN 37203Certificate of waiverOct 23, 2026

National Provider Directory

National Provider Directory

Locations

222 22nd Ave N
Fl 3
Nashville, TN 37203
Phone (615) 340-4625

222 22nd Ave N
Ste 300
Nashville, TN 37203
Phone (615) 340-4629

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1760464036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N",
            "address_2": "3RD FLOOR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031852",
            "telephone_number": "629-255-2620",
            "fax_number": "629-255-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N",
            "address_2": "3RD FLOOR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031852",
            "telephone_number": "629-255-2154",
            "fax_number": "629-255-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE ENDOSCOPY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "STAUSS",
        "authorized_official_first_name": "CRYSTIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN SERVICES MANAGER",
        "authorized_official_telephone_number": "629-255-2620"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "TN",
            "license": "0000000006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3287240",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.