NOVANT HEALTH BRUNSWICK ENDOSCOPY CENTER, LLC – NPI #1821510579
Clinic/Center

NOVANT HEALTH BRUNSWICK ENDOSCOPY CENTER, LLC is an AHC clinic located in SUPPLY, NC. NPPES has assigned the NPI number 1821510579 to NOVANT HEALTH BRUNSWICK ENDOSCOPY CENTER, LLC on July 14, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 last updated on May 31, 2026. 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 NOVANT HEALTH BRUNSWICK ENDOSCOPY CENTER, LLC below.

NPI Profile for
NOVANT HEALTH BRUNSWICK ENDOSCOPY CENTER, LLC

NPI Number
1821510579
Enumeration Date

(about 9 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
NOVANT HEALTH BRUNSWICK ENDOSCOPY CENTER, LLC
Primary location
13 MEDICAL CAMPUS DR
SUITE 101
SUPPLY, NC 28462
Phone: (910) 721-4300 Fax: (910) 721-4309
Mailing address
2085 FRONTIS PLAZA BLVD FL 3
WINSTON SALEM, NC 27103-5614
Phone: (336) 277-8757 Fax: (336) 718-8916
Organization Subpart
No
Authorized Official
ANDREA SMITH-JONES
VP CLINICAL OPERATIONS (ASC)
Phone: (336) 277-8757
Updated
Certification Date
May 31, 2026

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)

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.