WESTSIDE ENDOSCOPY CENTER PC NPI 1487647483

NPI Information

  • NPI: 1487647483
  • Provider Name: WESTSIDE ENDOSCOPY CENTER PC
  • Classification: Clinic/Center - 261QE0800X
  • Specialization: Endoscopy
  • Entity Type: Organization
  • CLIA Number: 11D1013229
  • Address: 3825 MEDICAL PARK DR
    SUITE 300
    AUSTELL, GA
    ZIP 30106
  • Phone: (678) 945-9600

Map and Directions

Get Directions

NPI Details

WESTSIDE ENDOSCOPY CENTER PC is an endoscopy clinic center in Austell, GA. WESTSIDE ENDOSCOPY CENTER PC NPI is 1487647483. The provider is registered as an organization entity type.

The provider's business location address is:

3825 MEDICAL PARK DR
SUITE 300
AUSTELL, GA
ZIP 30106-109
Phone: (678) 945-9600
Fax: (770) 948-9149

The provider's authorized official is Devon Spencer .
The authorized official title is Manager and has the following contact phone number (770) 941-4810.

The CLIA number assigned to this NPI record is 11D1013229 - 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)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Dilation of esophagus (HCPCS:43450)

The enumeration date for this NPI number is 8/24/2005 and was last updated on 3/2/2024.

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/CenterEndoscopy033269GEORGIAYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI