Active NPI
Watkinsville Oconee Endoscopy LLC
- Endoscopy Clinic/Center
- Watkinsville, GA
National Provider Identifier
1992653992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- Legal business name
- WATKINSVILLE OCONEE ENDOSCOPY LLC
- Practice address
- 1360 Caduceus Way BLDG 700
Watkinsville, GA 30677-7300 - Phone
- (404) 888-7575
- NPI assigned
- Mar 17, 2026
- Last updated
- Mar 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Mangine
- Title
- Senior Manager Payer Enrollment
- Phone
- (404) 888-7575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endoscopy Clinic/Center | 261QE0800X | Primary |
Addresses
Primary practice location
1360 Caduceus Way BLDG 700
Watkinsville, GA 30677-7300
Mailing address
1360 Caduceus Way BLDG 700
Watkinsville, GA 30677-7300
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2339110 | Watkinsville Oconee Endoscopy Center | Certificate of waiver | Feb 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
1360 Caduceus Way
Bldg 700
Watkinsville, GA 30677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773705600000",
"number": "1992653992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 CADUCEUS WAY BLDG 700",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 CADUCEUS WAY BLDG 700",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777300",
"telephone_number": "404-888-7575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATKINSVILLE OCONEE ENDOSCOPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-17",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A",
"authorized_official_last_name": "MANGINE",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "SENIOR MANAGER PAYER ENROLLMENT",
"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": []
}
Other providers in Watkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.