GDC ENDOSCOPY CENTER LLC (NPI# 1811052749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811052749 |
| Entity Type | Organization |
| Organization Name | GDC ENDOSCOPY CENTER LLC |
| Practice Address |
2887 Darlington Run Duluth GA 30097-4315 |
| Mailing Address |
475 Philip Blvd Suite 304 Lawrenceville GA 30046-8737 |
| Practice Telephone | 6783778252 |
| Practice Fax Number | 7709630122 |
| Mailing Telephone | 6783778252 |
| Mailing Fax Number | 7709630122 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2013-02-27 |
| Authorized Official Name | DR. BHUVANENDRAM INDRAKRISHNAN (MANAGER/MEMBER) |
| Authorized Official Telephone | 6783778252 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
11C0001280 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NPI | 1598847618 | 01 |
| GA | 839960927A | 05 |
| Street Address |
2887 DARLINGTON RUN |
| City | DULUTH |
| State | GA |
| Zip Code | 30097-4315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730603622 | Duluth Surgical Suites LLC | Clinic/Center | 2118 London Rd, Duluth, MN 55812-2127 | 2017-08-01 |
| 1356988554 | Duluth Surgical Suites LLC | Clinic/Center | 2118 London Rd, Duluth, MN 55812-2127 | 2019-12-06 |
| 1023651916 | Lakewalk Surgery Center, Inc. | Clinic/Center | 1420 London Rd Ste 100, Duluth, MN 55805-2437 | 2019-10-23 |
| 1669971214 | Moody Surgical Associates, LLC | Clinic/Center | 3540 Duluth Park Ln Ste 290, Duluth, GA 30096 | 2018-02-09 |
| 1740528934 | Prima Ambulatory Surgical Services | Clinic/Center | 3096 Peachtree Industrial Blvd, Duluth, GA 30097-7918 | 2013-01-22 |
| 1487793758 | North Atlanta Orthopaedic Surgery Center | Clinic/Center | 10670 Medlock Bridge Rd, Duluth, GA 30097 | 2007-02-05 |
| 1891730644 | Lakewalk Surgery Center, Inc. | Clinic/Center | 1420 London Rd, Suite 100, Duluth, MN 55805-2433 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372963 | Alliance Surgery Center At Peachtree City LLC | Clinic/Center | 1975 Highway 54 W Ste 105, Peachtree City, GA 30269-4794 | 2020-09-29 |
| 1518579903 | Amin Surgery Center for Women LLC | Clinic/Center | 1150b Kirkland Ln, Douglas, GA 31533-2044 | 2020-08-18 |
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1720602683 | Georgia Eye Surgery LLC | Clinic/Center | 1620 Prince Ave Ste B, Athens, GA 30606-6008 | 2020-06-05 |
| 1750905618 | Rsps Fayetteville Asc Lllp | Clinic/Center | 874 Lanier Ave W Ste 270, Fayetteville, GA 30214-7617 | 2020-06-05 |
| 1699395541 | Medici Surgical Center Gwinnett, LLC | Clinic/Center | 2220 Wisteria Dr Ste 100, Snellville, GA 30078-4604 | 2020-04-21 |
| 1114552338 | Georgia Interventional Pain - G, LLC | Clinic/Center | 1504 N Thornton Ave Ste 104, Dalton, GA 30720-8394 | 2020-03-09 |
| 1700424322 | Georgia Interventional Pain - F, LLC | Clinic/Center | 1357 Hembree Rd Ste 230, Roswell, GA 30076-5725 | 2019-12-13 |
| 1699328369 | Georgia Urology, Pa | Clinic/Center | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-07-22 |
| 1912563941 | Commerce Ambulatory Surgery Center, Inc. | Clinic/Center | 417 Pottery Factory Dr, Commerce, GA 30529-6682 | 2019-05-15 |
| 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.