G.I.Endoscopy Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

G.I.ENDOSCOPY CENTER

Practice address

6555 Professional PL
Suite B
Riverdale, GA 30274-4903

Phone

(770) 996-5959

NPI assigned

Sep 11, 2006

Organization subpart

No

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

Authorized official

Name

Jay R Prakash, M.D.

Title

President

Phone

(770) 996-5959

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Gi Endoscopy CenterCCN 11C0001047

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 2

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

• Paul W Joyner, M.D.

  • Colon & Rectal Surgery Physician
  • Stockbridge, GA
  • NPI 1497945968
  Medicare reassignment NPD
• Michael Cheng, M.D.

  • Gastroenterology Physician
  • Covington, GA
  • NPI 1942303276
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1861596967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 PROFESSIONAL PL",
            "address_2": "SUITE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744903",
            "telephone_number": "770-996-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 PROFESSIONAL PL",
            "address_2": "SUITE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744903",
            "telephone_number": "770-996-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.I.ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "PRAKASH",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-996-5959",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fleur de Lis Health Solutions of Georgia, LLC
• Mariana Franz, PT, DPT
• Kevin Stewart Freeman, M.D.
• Troy Lee Freeman, MSN, APRN, FNP-C
• Justin Frisbey
• Tyronjala Shontel Gainey-Grant, PMHNP
• Viralkumar Gajjar, PHARMD
• Derrickah Tiarah Gardner
• Rosalind Faith Gardner, CNM
• Rosalyn M. Garner, LCSW

• Ambulatory Surgical Clinic/Center in Riverdale, GA
• Providers in Riverdale, 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 5, 2013; 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.