Endoscopy Center of Coastal Georgia, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

86172S Issued in GA

Legal business name

ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC

Practice address

519 Stephenson Ave
Savannah, GA 31405-5969

Phone

(912) 354-9447

Fax

(912) 303-9246

NPI assigned

Aug 28, 2006

Last updated

Mar 9, 2009By 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

Mrs. Judy L Gilliam

Title

Billing Manager

Phone

(912) 354-9447

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Endoscopy Center of Coastal Georgia LLCCCN 11C0001200

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 11

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.

• Gregory D Borak, MD

  • Gastroenterology Physician
  • Savannah, GA
  • NPI 1255333142
  Medicare reassignment NPD
• Branden S Hunter, MD

  • Gastroenterology Physician
  • Savannah, GA
  • NPI 1093717985
  Medicare reassignment NPD
• William Loyd Mansour, M.D.

  • Gastroenterology Physician
  • Savannah, GA
  • NPI 1043698053

  Single Specialty

  Medicare reassignment NPD
• Isaac Ezra Perry, D.O.

  • Gastroenterology Physician
  • Augusta, GA
  • NPI 1134581911
  Medicare reassignment NPD
• Ansley S Tharpe, MD

  • Gastroenterology Physician
  • Savannah, GA
  • NPI 1386791234
  Medicare reassignment NPD
• Travis F. Wiggins, M.D.

  • Gastroenterology Physician
  • Savannah, GA
  • NPI 1053486126
  Medicare reassignment NPD
• David M Chalikian, MD

  • Gastroenterology Physician
  • Savannah, GA
  • NPI 1700888682
  NPD (past)
• John Erich Schweistris III, MD

  • Gastroenterology Physician
  • Savannah, GA
  • NPI 1689676553
  NPD (past)
• Michael D Weinman, MD

  • Gastroenterology Physician
  • Savannah, GA
  • NPI 1962404673
  NPD (past)
• Anthony Montemuro, M.D.

  • Gastroenterology Physician
  • Smyrna, TN
  • NPI 1578597902
  NPD (past)
• Frederick Weber

  • Gastroenterology Physician
  • Birmingham, AL
  • NPI 1306848023
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1821106923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 STEPHENSON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055969",
            "telephone_number": "912-354-9447",
            "fax_number": "912-303-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 STEPHENSON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055969",
            "telephone_number": "912-354-9447",
            "fax_number": "912-303-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "912-354-9447",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "86172S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Encompass Health Rehabilitation Hospital of Savannah, LLC (Encompass Health Rehabilitation Hospital of Savannah)
• Encore Pediatrics of Georgia LLC
• Encore Preakness, Inc.
• Endodontic Associates of Savannah PC
• Endoscopy Center LLC
• Haley White Enfinger, FNP-C
• Morgan Engel, PA-C
• Seth England
• Lindsay H English, D.M.D
• Enlace Savannah, LLC

• Ambulatory Surgical Clinic/Center in Savannah, GA
• Providers in Savannah, 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 9, 2009; 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.