SOUTHERN CRESCENT ENDOSCOPY SUITE, PC (NPI# 1245276195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245276195 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CRESCENT ENDOSCOPY SUITE, PC |
| Practice Address |
7402 Davidson Pkwy S Stockbridge GA 30281-4175 |
| Mailing Address |
550 Peachtree St Ne Suite 1600 Atlanta GA 30308-2208 |
| Practice Telephone | 7705074070 |
| Practice Fax Number | 7709078448 |
| Mailing Telephone | 4048887575 |
| Mailing Fax Number | 4048857777 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2011-08-24 |
| Authorized Official Name | JANA BAKER (ADMINISTRATOR) |
| Authorized Official Telephone | 4048887575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00779402A | 05 |
| Street Address |
7402 DAVIDSON PKWY S |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-4175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427049477 | Timothy Gilrane | Internal Medicine | 7402 Davidson Pkwy S, Stockbridge, GA 30281-4175 | 2005-10-31 |
| 1336482918 | Kimberly Ann Savage | Nurse Practitioner | 7402 Davidson Pkwy S, Stockbridge, GA 30281-4175 | 2013-04-01 |
| 1336469485 | Keval A Patel | Internal Medicine | 7402 Davidson Pkwy S, Stockbridge, GA 30281 | 2010-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1275871147 | Panola Endoscopy Center LLC | Clinic/Center | 5403 Hillandale Park Court, Suite A, Lithonia, GA 30058 | 2013-01-28 |
| 1760778765 | Gastrointestinal Diagnostic Endoscopy Woodstock, LLC | Clinic/Center | 118 Mill St, Suite 100, Woodstock, GA 30188-4879 | 2011-06-28 |
| 1558662858 | Athens Endoscopy, LLC | Clinic/Center | 21 Jefferson Pl Ste 2, Athens, GA 30601-1761 | 2010-11-03 |
| 1518127398 | Snooze, LLC | Clinic/Center | 307 Market Ct, Canton, GA 30114-4562 | 2008-06-14 |
| 1184714214 | Gainesville Endoscopy Center, LLC | Clinic/Center | 2324 Limestone Overlook Ste 200, Gainesville, GA 30501-7443 | 2006-10-12 |
| 1023102266 | Cobb Endoscopy Center LLC | Clinic/Center | 3969 South Cobb Dr, Suite 207, Smyrna, GA 30080 | 2006-10-03 |
| 1659384329 | Endoscopy Center LLC | Clinic/Center | 1139 Lexington Ave Ste B, Savannah, GA 31404 | 2006-08-14 |
| 1194761908 | Gwinnett Endoscopy Center, PC | Clinic/Center | 301 Philip Blvd, Suite B, Lawrenceville, GA 30046-8745 | 2006-06-21 |
| 1063458909 | Woodstock Endoscopy Center | Clinic/Center | 900 Towne Lake Pkwy Ste 310, Woodstock, GA 30189-1604 | 2006-06-21 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on SOUTHERN CRESCENT ENDOSCOPY SUITE, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.