PETERS ENDOSCOPY CENTER, LLC – NPI #1134777832
Clinic/Center

PETERS ENDOSCOPY CENTER, LLC is an AHC clinic located in HIGH POINT, NC. NPPES has assigned the NPI number 1134777832 to PETERS ENDOSCOPY CENTER, LLC on August 27, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 5 years ago on Sep 03, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PETERS ENDOSCOPY CENTER, LLC below.

NPI Profile for
PETERS ENDOSCOPY CENTER, LLC

NPI Number
1134777832
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PETERS ENDOSCOPY CENTER, LLC
Primary location
1580 SKEET CLUB RD
HIGH POINT, NC 27265-9530
Phone: (336) 883-0029 Fax:
1 Other location(s):
951 Rockford St
Mount Airy, NC 27030-5323
Phone: (336) 883-0029
Mailing address
645 N MAIN ST
HIGH POINT, NC 27260-5017
Phone: (336) 883-0029 Fax:
Organization Subpart
No
Authorized Official
ELISE CAREY
PRESIDENT
Phone: (336) 883-0029
Updated
Certification Date
Sep 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
261QE0800X
- Clinic/Center / Endoscopy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.