EAST ATLANTA ENDOSCOPY CENTERS, LLC (NPI# 1114440963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114440963 |
| Entity Type | Organization |
| Organization Name | EAST ATLANTA ENDOSCOPY CENTERS, LLC |
| Practice Address |
7229 Wheat St Ne Covington GA 30014-1566 |
| Mailing Address |
15305 Dallas Pkwy Ste 1600 Addison TX 75001-6491 |
| Practice Telephone | 6786255132 |
| Practice Fax Number | 6786255137 |
| Mailing Telephone | 9727633893 |
| Mailing Fax Number | 9726926745 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |
| Authorized Official Name | JENETHA D MORAN (OFFICER / AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558899682 | East Atlanta Endoscopy Centers, LLC | Clinic/Center | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2017-06-02 |
| Street Address |
7229 WHEAT ST NE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-1566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366584286 | East Atlanta Gastroenterology Associates, PC | Anesthesiology | 7229 Wheat St Ne, Covington, GA 30014-1566 | 2007-02-14 |
| 1508491838 | East Atlanta Gastroenterology Associates, PC | Internal Medicine | 7229 Wheat St Ne, Covington, GA 30014-1566 | 2020-03-06 |
| 1710450853 | East Atlanta Gastroenterology Associates, PC | Anesthesiology | 7229 Wheat St Ne, Covington, GA 30014-1566 | 2019-01-10 |
| 1679822878 | Ips Consulting Services, LLC | Anesthesiology | 7229 Wheat St Ne, Covington, GA 30014-1566 | 2012-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1760834295 | Resurgens East Surgery Center, LLC | Clinic/Center | 3241 Iris Dr, Suite 100, Covington, GA 30016 | 2016-07-08 |
| 1558605204 | Ispm Asc At Covington, LLC | Clinic/Center | 5303 Adams St Ne Ste C, Covington, GA 30014-6209 | 2012-11-19 |
| 1528297140 | Ispm At Covington, LLC | Clinic/Center | 5303 Adams Street, Suite C, Covington, GA 30014 | 2009-07-02 |
| 1184806028 | Pontchartrain Surgery Center LLC | Clinic/Center | 4407 Hwy 190 Service Rd, East, Ste. 200, Covington, LA 70433 | 2007-12-03 |
| 1376616060 | Northshore Surgical Center, LLC | Clinic/Center | 71207 Highway 21 Ste B, Covington, LA 70433-7121 | 2006-11-17 |
| 1396735833 | Newton Rockdale Ambulatory Surgery Center | Clinic/Center | 4167 Hospital Dr Ne, Covington, GA 30014-2565 | 2005-10-26 |
| 1497090740 | Olol Pontchartrain Surgery Center, LLC | Clinic/Center | 4407 Highway 190 East Service Rd, Ste 200, Covington, LA 70433-4957 | 2012-11-27 |
| 1477831360 | Georgia Ophthalmologists LLC | Clinic/Center | 4159 Mill St Ne, Covington, GA 30014-2546 | 2011-07-27 |
| 1295040350 | Normandy Surgical Suite LLC | Clinic/Center | 185 Greenbriar Blvd, Suite C, Covington, LA 70433-7234 | 2010-08-13 |
| Find all providers in COVINGTON | ||||
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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.