Northwest Endoscopy Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTHWEST ENDOSCOPY CENTER, LLC

Practice address

488 Kennesaw Ave NW
Suite 100
Marietta, GA 30060-9409

Phone

(770) 427-3075

Fax

(770) 427-3261

NPI assigned

Jan 5, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Jana Baker

Title

Administrator

Phone

(404) 888-7575

Specialties & licenses 1

Addresses

Other names 1

• North West Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Northwest Endoscopy Center LLCCCN 11C0001341

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

Practitioners 1

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

• Neal Chhitu Patel, MD

  • Gastroenterology Physician
  • Atlanta, GA
  • NPI 1689838575
  NPD (past)

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1992941462",
    "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": "303082247",
            "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": "488 KENNESAW AVE NW",
            "address_2": "SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609409",
            "telephone_number": "770-427-3075",
            "fax_number": "770-427-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North West Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northside Urgent Care
• Northwest Atlanta Vascular Care LLC
• Northwest Atlanta Vascular Care LLC
• Northwest Atlanta Vascular Care, LLC
• Northwest Audiology, LLC
• Northwest ENT Associates, PC
• Northwest Georgia Anesthesia Associates, LLC
• Northwest Georgia Oncology Centers, P.C
• Northwest Georgia Oncology Centers, PC
• Northwest Georgia Oncology Centers, PC

• Ambulatory Surgical Clinic/Center in Marietta, GA
• Providers in Marietta, 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 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.