West Metro Endoscopy Center, LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

WEST METRO ENDOSCOPY CENTER, LLC

Practice address

8855 Hospital Dr
Suite 102
Douglasville, GA 30134-2267

Phone

(678) 784-5021

Fax

(678) 784-0416

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Jana Baker

Title

Administrator

Phone

(404) 888-7575

Specialties & licenses 1

Addresses

Other names 1

• West Metro Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

West Metro Endoscopy Center LLCCCN 11C0001316

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Northside Hospital, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Canton, GA
  • NPI 1770112021

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1871764712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082208",
            "telephone_number": "404-888-7575",
            "fax_number": "404-885-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 HOSPITAL DR",
            "address_2": "SUITE 102",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342267",
            "telephone_number": "678-784-5021",
            "fax_number": "678-784-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST METRO ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-888-7575"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Metro Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Atlanta Primary Care
• West Georgia Audiology
• West Georgia Community Care, LLC
• West Georgia Psychological Services
• West Health Services LLC
• Ferlandra West, BSN,RN
• Katrina West
• Westside Pediatrics, P.C.
• Suzette Whilby, NP
• D'Jaris Renee White, PH.D, CCC-SLP

• Endoscopy Clinic/Center in Douglasville, GA
• Providers in Douglasville, 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 Aug 24, 2011; 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.