CLARKE COUNTY ENDOSCOPY CENTER LLC (NPI# 1588030704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588030704 |
| Entity Type | Organization |
| Organization Name | CLARKE COUNTY ENDOSCOPY CENTER LLC |
| Other Organization Name | ATHENS CLARKE COUNTY ENDOSCOPY CENTER |
| Practice Address |
340 N Milledge Ave Athens GA 30601 |
| Mailing Address |
550 Peachtree St Ne Suite 1600 Atlanta GA 30308-2208 |
| Practice Telephone | 4048887575 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | JANA BAKER (ADMINSTRATOR) |
| 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 |
| Other Name | Type Code |
|---|---|
| Athens Clarke County Endoscopy Center | Doing Business As Name - Organization |
| Street Address |
340 N MILLEDGE AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710024195 | John Michael West | Specialist | 340 N Milledge Ave, Suite B, Athens, GA 30601-3806 | 2007-02-01 |
| 1609003912 | Erik Burness Person | Internal Medicine | 340 N Milledge Ave, Athens, GA 30601-3806 | 2009-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
| 1982172433 | Smith Dental Care of Athens Inc. | Clinic/Center | 801 Us Highway 29 North, Athens, GA 30601 | 2018-11-02 |
| 1356865935 | Elizabeth Anne Price | Pharmacist | 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 | 2017-07-26 |
| 1386011575 | Janna Barham Cleveland | Nurse Practitioner | 496 Reese Street, Athens, GA 30601 | 2015-08-24 |
| 1295113769 | Brent Dillin Temple | Case Manager/Care Coordinator | 9249 Highway 29 North, Athens, GA 30601 | 2015-05-15 |
| 1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
| 1619397478 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 700 Highway 29 N, Athens, GA 30601 | 2014-04-21 |
| 1972921021 | Issa Papiss Bagayogo | Psychiatry & Neurology | 297 Prince Avenue Suite 28a, Athens, GA 30601 | 2014-04-04 |
| 1447682083 | Brittany Lynn Lowery | Counselor | 250 Bray Street, Athens, GA 30601 | 2013-08-06 |
| 1417194135 | Carey Kirk | Counselor | 295 Mles St, Athens, GA 30601 | 2009-01-16 |
| Find all providers in zip 30601 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558662858 | Athens Endoscopy, LLC | Clinic/Center | 21 Jefferson Pl Ste 2, Athens, GA 30601-1761 | 2010-11-03 |
| 1356665681 | Athens Gastroenterology Endoscopy Center | Clinic/Center | 3320 Old Jefferson Rd, Building 400, Athens, GA 30607-1400 | 2010-03-15 |
| 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 |
| 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.