GI DIAGNOSTICS ENDOSCOPY CENTER, LLC
NPI 1205803699
Clinic/Center - Endoscopy in Marietta, GA

NPI Status: Active since March 03, 2006

Contact Information

2550 WINDY HILL RD SE
STE. 302
MARIETTA, GA
ZIP 30067
Phone: (770) 226-9070
Fax: (770) 951-9016

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  • Organization
  • Clinic/Center
  • Endoscopy
  • Accepts Insurance
  • CLIA Number: 11D0990765
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-30-2027

About GI DIAGNOSTICS ENDOSCOPY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Gi Diagnostics Endoscopy Center, Llc, a provider established in Marietta, Georgia operating as a Clinic/center, focusing in endoscopy . The healthcare provider is registered in the NPI registry with number 1205803699 assigned on March 2006. The practitioner's primary taxonomy code is 261QE0800X with license number 6800013 (GA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Tracy L Jones (Senior Manager, Business Operations)

NPI
1205803699
Provider Name
GI DIAGNOSTICS ENDOSCOPY CENTER, LLC
Entity Type
Organization
Location Address
2550 WINDY HILL RD SE STE. 302 MARIETTA, GA 30067
Location Phone
(770) 226-9070
Location Fax
(770) 951-9016
Mailing Address
711 CANTON RD NE STE 300 MARIETTA, GA 30060
Mailing Phone
(678) 741-2317
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2006
Last Update Date
01-13-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Endoscopy

Taxonomy Code
261QE0800X
Type
Ambulatory Health Care Facilities
License No.
6800013
License State
GA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QE0800XAmbulatory Health Care Facilities

Clinic/Center
Endoscopy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
  • SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
  • SoloCare Gold EPO $1500 DED 10010 - EPO
  • SoloCare Silver EPO $5000 DED 10014 - EPO
  • SoloCare Silver EPO $6500 DED 10013 - EPO
  • SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
  • SoloCare Standard Gold EPO $2000 DED 10006 - EPO
  • SoloCare Standard Platinum EPO $0 DED 10005 - EPO
  • SoloCare Standard Silver EPO $6000 DED 10007 - EPO
  • MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
  • MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
  • MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TRACY L JONES

Authorized Official Title
SENIOR MANAGER, BUSINESS OPERATIONS
Authorized Official Phone
(678) 819-4295

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000805384AMEDICAID (05)GA 
003119778AMEDICAID (05)GA 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

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.

This service was performed 423 times for 417 patients

Biopsy of large bowel using a flexible endoscope

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.

This service was performed 344 times for 343 patients

Colorectal cancer screening; colonoscopy on individual at high risk

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.

This service was performed 122 times for 120 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

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.

This service was performed 111 times for 108 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

This service was performed 58 times for 58 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 66 times for 65 patients

Dilation of esophagus

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

This service was performed 63 times for 63 patients

Injection beneath lining of large bowel using a flexible endoscope

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

This service was performed 12 times for 12 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

This service was performed 44 times for 43 patients

Removal of external hemorrhoids by rubber banding

Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.

This service was performed 33 times for 13 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

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.

This service was performed 389 times for 389 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0990765
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 31, 2025
Certificate Expiration Date
August 30, 2027
Laboratory Director
SHANNON L. MOULTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gi Diagnostics Endoscopy Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205803699, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 1 + 6 + 0 + 6 + 6 + 1 + 8 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1205803699.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
2550 WINDY HILL RD SE, SUITE 302
MARIETTA, GA 30067
Nurse Anesthetist, Certified Registered
2550 WINDY HILL RD SE, SUITE 302
MARIETTA, GA 30067
Nurse Anesthetist, Certified Registered
2550 WINDY HILL RD SE, SUITE 302
MARIETTA, GA 30067
Anesthesiology
2550 WINDY HILL RD SE, SUITE 302
MARIETTA, GA 30067
Nurse Anesthetist, Certified Registered
2550 WINDY HILL RD SE, SUITE 302
MARIETTA, GA 30067
Anesthesiology
2550 WINDY HILL RD SE, SUITE 302
MARIETTA, GA 30067
Nurse Anesthetist, Certified Registered
2550 WINDY HILL RD SE, SUITE 302
MARIETTA, GA 30067
Nurse Anesthetist, Certified Registered
2550 WINDY HILL RD SE, SUITE 302
MARIETTA, GA 30067
Nurse Anesthetist, Certified Registered
2550 WINDY HILL RD SE, SUITE 302
MARIETTA, GA 30067
Nurse Anesthetist, Certified Registered
2550 WINDY HILL RD SE, SUITE 302
MARIETTA, GA 30067
Nurse Anesthetist, Certified Registered
2550 WINDY HILL RD SE, SUITE 302
MARIETTA, GA 30067
Anesthesiologist Assistant
2550 WINDY HILL RD SE, SUITE 302
MARIETTA, GA 30067
Anesthesiologist Assistant
2550 WINDY HILL RD SE, SUITE 302
MARIETTA, GA 30067
Clinic/Center
2550 WINDY HILL RD SE
MARIETTA, GA 30067
Rehabilitation Practitioner
2550 WINDY HILL RD SE
MARIETTA, GA 30067
Physical Therapist (Orthopedic)
2550 WINDY HILL RD SE, SUITE 317
MARIETTA, GA 30067
Nurse Practitioner (Adult Health)
2550 WINDY HILL RD SE, SUITE 115
MARIETTA, GA 30067
Specialist
2550 WINDY HILL RD SE, SUITE 115
MARIETTA, GA 30067
Internal Medicine (Rheumatology)
2550 WINDY HILL RD SE, SUITE 101
MARIETTA, GA 30067
Specialist
2550 WINDY HILL RD SE, SUITE 115
MARIETTA, GA 30067

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205803699, enumerated as an "organization" on March 03, 2006.

The provider is located at 2550 WINDY HILL RD SE STE. 302 MARIETTA, GA 30067 and the phone number is (770) 226-9070.

Clinic/Center with taxonomy code 261QE0800X and a focus in Endoscopy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Mending Health,. Please consult your insurance carrier or call the provider to verify.