DEKALB ENDOSCOPY CENTER – NPI #1497895676
Clinic/Center

DEKALB ENDOSCOPY CENTER is an AHC clinic located in DECATUR, GA. NPPES has assigned the NPI number 1497895676 to DEKALB ENDOSCOPY CENTER on February 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DEKALB ENDOSCOPY CENTER” is a dba name, the actual legal business name for this organization is DEKALB GASTROENTEROLOGY ASSOCIATES III, LLC. 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 4 years ago on Mar 09, 2022. 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 DEKALB ENDOSCOPY CENTER below.

NPI Profile for
DEKALB GASTROENTEROLOGY ASSOCIATES III, LLC

NPI Number
1497895676
Enumeration Date

(more than 19 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
DEKALB GASTROENTEROLOGY ASSOCIATES III, LLC
Doing Business As (dba): DEKALB ENDOSCOPY CENTER
Primary location
2675 N DECATUR RD
SUITE 506
DECATUR, GA 30033-6131
Phone: (404) 299-1679 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK STERN
MEDICAL DIRECTOR
Phone: (404) 299-1679
Updated
Certification Date
Mar 09, 2022

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)		 GA 044086

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.