1. Home
  2. Directory
  3. Georgia
  4. Conyers
  5. Clinic Center
  6. NPI Profile

EASTSIDE ENDOSCOPY CENTER LLC
NPI 1053846592
Clinic/Center - Ambulatory Surgical in Conyers, GA

Active since April 21, 2017CLIA 11D2128624 · Waiver
1805 HONEY CREEK CMNS SE, CONYERS, GA 30013(404) 509-1868 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2019, Apr 21, 2017 (2 updates tracked since 2017).

About Eastside Endoscopy Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTSIDE ENDOSCOPY CENTER LLC (NPI 1053846592) is a healthcare organization registered as an ambulatory surgical in Conyers, Georgia and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through April 3, 2027 and lists Karim Shakoor, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1053846592
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEASTSIDE ENDOSCOPY CENTER LLC
Location Address1805 HONEY CREEK CMNS SEConyers, GA 30013-5828
Mailing Address1805 Honey Creek Cmns SeConyers, GA 30013-5828 · (404) 509-1868
Phone(404) 509-1868
Organization SubpartNo
Authorized OfficialKarim ShakoorMedical Director · (770) 922-7000
Enumeration DateApril 21, 2017
Last NPPES UpdateAugust 20, 20192 updates tracked since enumeration
✔ NPI 1053846592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1805 HONEY CREEK CMNS SE, Conyers, GA 30013
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2128624

Eastside Endoscopy Center, LLC · Conyers, GA
Active · expires Apr 3, 2027
CLIA Number11D2128624
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorKarim Shakoor
Laboratory Phone(770) 922-7000
Laboratory LocationEastside Endoscopy Center, LLC1805 Honey Creek Commons, Conyers, GA 30013
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
60 services58 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
39 services37 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
35 services35 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
33 services33 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
16 services16 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EASTSIDE ENDOSCOPY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1805 HONEY CREEK CMNS SE
CONYERS, GA 30013
Rockdale County (770) 922-7000
PREMIER ANESTHESIOLOGY ASSOCIATES
Anesthesiology
1805 HONEY CREEK CMNS SE
CONYERS, GA 30013
Rockdale County (404) 509-1868
EASTSIDE ENDOSCOPY CENTER, LLC
Clinic/Center (Endoscopy)
1805 HONEY CREEK CMNS SE
CONYERS, GA 30013
Rockdale County (770) 922-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastside Endoscopy Center LLC's NPI number?

The NPI number for Eastside Endoscopy Center LLC is 1053846592. It was assigned to this organization in the NPPES registry on April 21, 2017.

Where is Eastside Endoscopy Center LLC located?

Eastside Endoscopy Center LLC is located at 1805 Honey Creek Cmns SE, Conyers, GA 30013. The listed phone number is (404) 509-1868.

What is Eastside Endoscopy Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Eastside Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2128624) is associated with this NPI, valid through April 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eastside Endoscopy Center LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Eastside Endoscopy Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eastside Endoscopy Center LLC was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.