CGS ENDOSCOPY CENTER PLLC NPI 1063667020

NPI Information

  • NPI: 1063667020
  • Provider Name: CGS ENDOSCOPY CENTER, PLLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 34D2001052
  • Address: 3520 AIRPORT BLVD NW STE F
    WILSON, NC
    ZIP 27896
  • Phone: (252) 206-5622

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NPI Details

CGS ENDOSCOPY CENTER, PLLC is an ambulatory surgical clinic center in Wilson, NC. CGS ENDOSCOPY CENTER, PLLC NPI is 1063667020. The provider is registered as an organization entity type.

The provider's business location address is:

3520 AIRPORT BLVD NW STE F
WILSON, NC
ZIP 27896-674
Phone: (252) 206-5622
Fax: (252) 206-5623

The provider's authorized official is Venkatesh Lakshman .
The authorized official title is Physician/owner and has the following contact phone number (252) 206-5622.

The CLIA number assigned to this NPI record is 34D2001052 - 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.

  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
  • Destruction of polyp or growth of large bowel using a flexible endoscope (HCPCS:45388)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)

The enumeration date for this NPI number is 11/18/2008 and was last updated on 8/4/2020.

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
1261QA1903XClinic/CenterAmbulatory SurgicalAS0112NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13409975MEDICAIDNORTH CAROLINA

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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