DIGESTIVE HEALTH SPECIALISTS, PA
NPI 1073745485
Internal Medicine - Gastroenterology in Advance, NC

Active since August 18, 2009CLIA Certified · 8 labs
112 KINDERTON BLVD, ADVANCE, NC 27006(336) 768-6211(336) 768-6869 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Digestive Health Specialists, Pa NPPES

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

DIGESTIVE HEALTH SPECIALISTS, PA (NPI 1073745485) is a healthcare organization registered as a gastroenterology in Advance, North Carolina and active in the NPI registry since August 2009. The organization holds 8 active CLIA laboratory certificates and lists Jacquelyn Tillinger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073745485
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameDIGESTIVE HEALTH SPECIALISTS, PA
Location Address112 KINDERTON BLVDAdvance, NC 27006
Mailing Address2025 Frontis Plaza Blvd, Suite 200Winston Salem, NC 27103-5663 · (336) 768-6211 · Fax (336) 768-6869
Fax(336) 768-6869
Organization SubpartNo
Authorized OfficialJacquelyn TillingerCeo · (336) 768-6211
Enumeration DateAugust 18, 2009
Last NPPES UpdateApril 4, 2017
NPI 1073745485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
112 KINDERTON BLVD, Advance, NC 27006

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 9

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 34D1103752

Digestive Health Specialists PA · Advance, NC
Active · expires Aug 17, 2027
CLIA Number34D1103752
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorNicholas A. Netherland
Laboratory Phone(336) 768-6211
Laboratory LocationDigestive Health Specialists PA112 Kinderton Blvd, Suite 100 - Clinic, Advance, NC 27006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2157925

Digestive Health Specialists, PA · Advance, NC
Active · expires Nov 15, 2026
CLIA Number34D2157925
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorNicholas A. Netherland
Laboratory Phone(336) 768-6211
Laboratory LocationDigestive Health Specialists, PA112 Kinderton Boulevard - ASC, Advance, NC 27006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D1078103

Digestive Health Specialists PA · Thomasville, NC
Active · expires Dec 30, 2027
CLIA Number34D1078103
Laboratory TypePhysician Office
Certificate Effective DateDecember 31, 2025
Certificate Expiration DateDecember 30, 2027
Laboratory DirectorDavid B. Ramsay
Laboratory Phone(336) 768-6211
Laboratory LocationDigestive Health Specialists PA137 Mount Calvary Road, Suite A - Clinic, Thomasville, NC 27360
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2157921

Digestive Health Specialists, PA · Thomasville, NC
Active · expires Nov 15, 2026
CLIA Number34D2157921
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorDavid B. Ramsay
Laboratory Phone(336) 768-6211
Laboratory LocationDigestive Health Specialists, PA137 Mount Calvary Road - ASC, Thomasville, NC 27360
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2157924

Digestive Health Specialists, PA · Kernersville, NC
Active · expires Nov 15, 2026
CLIA Number34D2157924
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorCharles P. Katopes III
Laboratory Phone(336) 768-6211
Laboratory LocationDigestive Health Specialists, PA280 Broad Street, Suite G - ASC, Kernersville, NC 27284
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2157927

Digestive Health Specialists, PA · Winston-Salem, NC
Active · expires Nov 15, 2026
CLIA Number34D2157927
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorRamya Vestal
Laboratory Phone(336) 768-6211
Laboratory LocationDigestive Health Specialists, PA195 Kimel Park Drive, Suite 300- ASC, Winston-Salem, NC 27103
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Internal Medicine
112 KINDERTON BLVD, SUITE 110
ADVANCE, NC 27006
Clinic/Center (Ambulatory Surgical)
112 KINDERTON BLVD
ADVANCE, NC 27006

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 Digestive Health Specialists, PA's NPI number?

The NPI number for Digestive Health Specialists, PA is 1073745485. It was assigned to this organization in the NPPES registry on August 18, 2009.

Where is Digestive Health Specialists, PA located?

Digestive Health Specialists, PA is located at 112 Kinderton Blvd, Advance, NC 27006. The listed phone number is (336) 768-6211.

What is Digestive Health Specialists, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Digestive Health Specialists, PA hold CLIA laboratory certificates?

Yes. 8 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Digestive Health Specialists, PA was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.