Carolina Gastroenterology Specialists PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

CAROLINA GASTROENTEROLOGY SPECIALISTS PLLC

Practice address

3520 Airport Blvd NW Ste F
Wilson, NC 27896-8674

Phone

(252) 206-5622

Fax

(252) 206-5623

NPI assigned

Apr 3, 2007

Last updated

May 14, 2020By 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

Dr. Venkatesh Lakshman, MDNPI 1457446312

Title

President

Phone

(252) 206-5622

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Carolina Gastroenterology Specialists PLLC

  • Ambulatory Surgical Clinic/Center
  • Wilson, NC
  • NPI 1063667020
  NPPES parent name

Practitioners 3

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.

• Venkatesh Lakshman, MD

  • Gastroenterology Physician
  • Wilson, NC
  • NPI 1457446312
  Medicare reassignment NPD Authorized official
• Deepa Reddy, M.D.

  • Gastroenterology Physician
  • Raleigh, NC
  • NPI 1316986086
  Medicare reassignment NPD
• Randall L Savell, M.D.

  • Gastroenterology Physician
  • Wilson, NC
  • NPI 1497849087
  Medicare reassignment NPD

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1962523050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 AIRPORT BLVD NW",
            "address_2": "SUITE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968674",
            "telephone_number": "252-206-5622",
            "fax_number": "252-206-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 AIRPORT BLVD NW STE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968674",
            "telephone_number": "252-206-5622",
            "fax_number": "252-206-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA GASTROENTEROLOGY SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "LAKSHMAN",
        "authorized_official_first_name": "VENKATESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-206-5622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900445",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "193133",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7407289",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1388C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Concussion Care
• Carolina Family Health Centers, Inc (Wilson Community Health Center)
• Carolina Family Health Centers, Inc (Wilson Community Health Center Pharmacy)
• Carolina Family Health Centers, Inc (Lee Student Health Center)
• Carolina Gastroenterology Specialists PLLC
• Carolina Medical Associates, PA
• Carolina Medical Specialties, Inc.
• Carolina Outreach, LLC
• Carolina Radiology Consultants, PA
• Carolina Staffing & Home Health, Inc.

• Gastroenterology Physician in Wilson, NC
• Providers in Wilson, NC by specialty
• Gastroenterology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.