MIDTOWN ENDOSCOPY CENTER LLC NPI 1417993080

NPI Information

  • NPI: 1417993080
  • Provider Name: MIDTOWN ENDOSCOPY CENTER, LLC
  • Classification: Clinic/Center - 261QE0800X
  • Specialization: Endoscopy
  • Entity Type: Organization
  • CLIA Number: 11D1002446
  • Address: 550 PEACHTREE ST NE
    SUITE 1660
    ATLANTA, GA
    ZIP 30308
  • Phone: (404) 253-6820

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NPI Details

MIDTOWN ENDOSCOPY CENTER, LLC is an endoscopy clinic center in Atlanta, GA. MIDTOWN ENDOSCOPY CENTER, LLC NPI is 1417993080. The provider is registered as an organization entity type.

The provider's business location address is:

550 PEACHTREE ST NE
SUITE 1660
ATLANTA, GA
ZIP 30308-209
Phone: (404) 253-6820
Fax: (404) 253-6821

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 11D1002446 - 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)
  • 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)
  • 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)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)

The enumeration date for this NPI number is 6/21/2006 and was last updated on 9/27/2017.

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/CenterEndoscopyYes

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
1640659086AMEDICAIDGEORGIA
2X81327MEDICARE UPINGEORGIA
3111214ASCAMEDICARE ID-TYPE UNSPECIFIEDGEORGIA

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: 11/21/2025

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