PANOLA ENDOSCOPY CENTER – NPI #1275871147
Clinic/Center

PANOLA ENDOSCOPY CENTER is an AHC clinic located in LITHONIA, GA. NPPES has assigned the NPI number 1275871147 to PANOLA ENDOSCOPY CENTER on January 28, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PANOLA ENDOSCOPY CENTER” is a dba name, the actual legal business name for this organization is PANOLA ENDOSCOPY CENTER LLC. The primary taxonomy selected by this provider is 261QE0800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Endoscopy

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 PANOLA ENDOSCOPY CENTER below.

NPI Profile for
PANOLA ENDOSCOPY CENTER LLC

NPI Number
1275871147
Enumeration Date

(more than 13 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
PANOLA ENDOSCOPY CENTER LLC
Doing Business As (dba): PANOLA ENDOSCOPY CENTER
Primary location
5403 HILLANDALE PARK COURT
SUITE A
LITHONIA, GA 30058
Phone: (770) 817-0224 Fax: (770) 817-0228
Mailing address
550 PEACHTREE ST NE
SUITE 1600
ATLANTA, GA 30308-2208
Phone: (404) 888-7575 Fax: (404) 885-7777
Organization Subpart
No
Authorized Official
JANA BAKER
ADMINISTRATOR
Phone: (404) 888-7575
Updated
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
261QE0800X
- Clinic/Center / Endoscopy (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.