PANOLA ENDOSCOPY CENTER LLC NPI 1275871147

NPI Details

PANOLA ENDOSCOPY CENTER LLC is an endoscopy clinic center in Lithonia, GA. PANOLA ENDOSCOPY CENTER LLC NPI is 1275871147. The provider is registered as an organization entity type.
The provider Is Doing Business As Panola Endoscopy Center.

The provider's business location address is:

5403 HILLANDALE PARK COURT
SUITE A
LITHONIA, GA
ZIP 30058
Phone: (770) 817-0224
Fax: (770) 817-0228

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 CLIA number assigned to this NPI record is 11D2057790 - 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 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)
• Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
• Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)

The enumeration date for this NPI number is 1/28/2013 and was last updated on 1/28/2013.

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: