Gwinnett Endoscopy Services, LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

GWINNETT ENDOSCOPY SERVICES, LLC

Practice address

3855 Pleasant Hill Rd
Suite 130
Duluth, GA 30096-1407

Phone

(678) 736-5201

Fax

(678) 736-5241

NPI assigned

Mar 3, 2009

Organization subpart

No

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

Authorized official

Name

J. Thomas Shepherd

Title

Chairman, Governing Board

Phone

(678) 312-4521

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1770723751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 PLEASANT HILL RD",
            "address_2": "SUITE 130",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961407",
            "telephone_number": "678-736-5201",
            "fax_number": "678-736-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 PLEASANT HILL RD",
            "address_2": "SUITE 130",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961407",
            "telephone_number": "678-736-5201",
            "fax_number": "678-736-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT ENDOSCOPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHAIRMAN, GOVERNING BOARD",
        "authorized_official_telephone_number": "678-312-4521"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwinnett Clinic LTD
• Gwinnett Clinic, LTD
• Gwinnett Clinic, LTD
• Gwinnett Clinic, LTD
• Gwinnett Ear Nose & Throat, LLC
• Gwinnett Eye Clinic
• Gwinnett Health Centers LLC
• Gwinnett Multi Specialty Group LLC
• Gwinnett Ophthalmology PC
• Gwinnett Orthopaedic & Sports Medicine

• Endoscopy Clinic/Center in Duluth, GA
• Providers in Duluth, 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 Nov 12, 2009; 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.