GASTRO SPECIALISTS ENDOSCOPY CENTER LLC NPI 1023252954

NPI Information

  • NPI: 1023252954
  • Provider Name: GASTRO SPECIALISTS ENDOSCOPY CENTER, LLC
  • Classification: Clinic/Center - 261QE0800X
  • Specialization: Endoscopy
  • Entity Type: Organization
  • CLIA Number: 11D1103719
  • Address: 3292 MOUNTAIN DR
    SUITE A
    DECATUR, GA
    ZIP 30032
  • Phone: (404) 294-8180

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NPI Details

GASTRO SPECIALISTS ENDOSCOPY CENTER, LLC is an endoscopy clinic center in Decatur, GA. GASTRO SPECIALISTS ENDOSCOPY CENTER, LLC NPI is 1023252954. The provider is registered as an organization entity type.

The provider's business location address is:

3292 MOUNTAIN DR
SUITE A
DECATUR, GA
ZIP 30032-102
Phone: (404) 294-8180
Fax: (404) 294-8188

The provider's authorized official is Shirley A Harris .
The authorized official title is President and has the following contact phone number (404) 294-8180.

The CLIA number assigned to this NPI record is 11D1103719 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)

The enumeration date for this NPI number is 4/22/2009 and was last updated on 8/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0800XClinic/CenterEndoscopyGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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