GWINNETT ENDOSCOPY CENTER PC NPI 1194761908

NPI Information

NPI: 1194761908
Provider Name: GWINNETT ENDOSCOPY CENTER, PC
Classification: Clinic/Center - 261QE0800X
Specialization: Endoscopy
Entity Type: Organization
Address: 301 PHILIP BLVD
SUITE B
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 822-5562

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NPI Details

GWINNETT ENDOSCOPY CENTER, PC is an endoscopy clinic center in Lawrenceville, GA. GWINNETT ENDOSCOPY CENTER, PC NPI is 1194761908. The provider is registered as an organization entity type.

The provider's business location address is:

301 PHILIP BLVD
SUITE B
LAWRENCEVILLE, GA
ZIP 30046-745
Phone: (770) 822-5562
Fax: (770) 338-0510

The provider's authorized official is Jana Baker .
The authorized official title is Administrator and has the following contact phone number (404) 888-7575.

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 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)
Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
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)
Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
Removal of external hemorrhoids by rubber banding (HCPCS:46221)
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
Diagnostic exam of lower portion of large bowel using a flexible endoscope (HCPCS:45330)

The enumeration date for this NPI number is 6/21/2006 and was last updated on 8/24/2011.

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
1	261QE0800X	Clinic/Center	Endoscopy			Yes

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
1	X17825	MEDICARE UPIN	GEORGIA
2	111055ASCA	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
3	00587298A	MEDICAID	GEORGIA

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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