PANOLA ENDOSCOPY CENTER LLC (NPI# 1275871147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275871147 |
| Entity Type | Organization |
| Organization Name | PANOLA ENDOSCOPY CENTER LLC |
| Other Organization Name | PANOLA ENDOSCOPY CENTER |
| Practice Address |
5403 Hillandale Park Court Suite A Lithonia GA 30058 |
| Mailing Address |
550 Peachtree St Ne Suite 1600 Atlanta GA 30308-2208 |
| Practice Telephone | 7708170224 |
| Practice Fax Number | 7708170228 |
| Mailing Telephone | 4048887575 |
| Mailing Fax Number | 4048857777 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |
| Authorized Official Name | JANA BAKER (ADMINISTRATOR) |
| Authorized Official Telephone | 4048887575 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Panola Endoscopy Center | Doing Business As Name - Organization |
| Street Address |
5403 HILLANDALE PARK COURT SUITE A |
| City | LITHONIA |
| State | GA |
| Zip Code | 30058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603606 | Sherenda Lashawn Ellis | Contractor | 1859 Petite Lane, Lithonia, GA 30058 | 2020-09-09 |
| 1477186807 | Reset Recovery Health Center LLC | Substance Abuse Rehabilitation Facility | 6978 Main St, Lithonia, GA 30058 | 2020-02-13 |
| 1346726122 | Myorganics | Spec/Tech, Pathology | 5910 Shadow Rock Dr, Lithonia, GA 30058 | 2018-07-16 |
| 1699251884 | Enriching Medical Transport | Ambulance | 2260 Lithonia Industrial Blvd., Ste N-b, Lithonia, GA 30058 | 2018-07-11 |
| 1841789914 | Milner Vein and Vascular LLC | Surgery | 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 | 2018-05-04 |
| 1215451265 | Brittany Rawlings | Home Health | 6127 Howell Ridge, Lithonia, GA 30058 | 2017-08-01 |
| 1982125571 | Bella Intellectum, LLC | Technician/Technologist | 6803 Edmonton Ct., Lithonia, GA 30058 | 2017-07-05 |
| 1528589397 | Arlene Dennis | Registered Nurse | 6022 Arnor Links Road, Lithonia, GA 30058 | 2017-07-03 |
| 1417401746 | Two Caring Hands Private Home Care | Home Health | 1959 Singers Way, Lithonia, GA 30058 | 2016-08-03 |
| 1518347467 | Ortho Injury and Wellness Center Inc. | Clinic/Center | 6148 A Covington Hwy, Lithonia, GA 30058 | 2015-06-05 |
| Find all providers in zip 30058 | ||||
| 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 |
| 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 |
| 1487639100 | North Fulton Diagnostic Gastrointestinal Center | Clinic/Center | 1340 Upper Hembree Rd, Roswell, GA 30076-0927 | 2005-12-15 |
| Find all providers with the same taxonomy | ||||
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| 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.