Organization Active NPI

Watkinsville Oconee Endoscopy LLC

  • Endoscopy Clinic/Center
  • Watkinsville, GA
National Provider Identifier
1992653992
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2339110Watkinsville Oconee Endoscopy Center1360 Caduceus Way, Watkinsville, GA 30677Certificate of waiverFeb 23, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.