NORTHERN CRESCENT ENDOSCOPY SUITE LLC NPI 1548206493

NPI Information

  • NPI: 1548206493
  • Provider Name: NORTHERN CRESCENT ENDOSCOPY SUITE, LLC
  • Classification: Clinic/Center - 261QE0800X
  • Specialization: Endoscopy
  • Entity Type: Organization
  • CLIA Number: 11D0960967
  • Address: 5671 PEACHTREE DUNWOODY RD NE
    SUITE 680
    ATLANTA, GA
    ZIP 30342
  • Phone: (404) 705-6985

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NPI Details

NORTHERN CRESCENT ENDOSCOPY SUITE, LLC is an endoscopy clinic center in Atlanta, GA. NORTHERN CRESCENT ENDOSCOPY SUITE, LLC NPI is 1548206493. The provider is registered as an organization entity type.

The provider's business location address is:

5671 PEACHTREE DUNWOODY RD NE
SUITE 680
ATLANTA, GA
ZIP 30342-000
Phone: (404) 705-6985
Fax: (404) 851-9950

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 11D0960967 - physician office 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)
  • 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)
  • 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)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • 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 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
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
1X45140MEDICARE UPINGEORGIA
2543655296AMEDICAIDGEORGIA
3111158ASCAMEDICARE 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: 3/30/2025

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