ENDOSCOPY CENTER OF MIDDLE GEORGIA LLC
NPI 1215915939
Clinic/Center - Ambulatory Surgical in Macon, GA

Active since January 03, 2006CLIA 11D1027514 · Waiver
610 THIRD STREET, MACON, GA 31201(478) 464-2600(478) 738-9740 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Endoscopy Center Of Middle Georgia Llc NPPES

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

ENDOSCOPY CENTER OF MIDDLE GEORGIA LLC (NPI 1215915939) is a healthcare organization registered as an ambulatory surgical in Macon, Georgia and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through June 30, 2028 and lists Sarah Gibbert, Administrator, as its authorized official.

NPPES Registry Identity

NPI1215915939
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameENDOSCOPY CENTER OF MIDDLE GEORGIA LLC
Location Address610 THIRD STREETMacon, GA 31201
Mailing Address610 Third StreetMacon, GA 31201 · (478) 464-2600 · Fax (478) 738-9740
Fax(478) 738-9740
Organization SubpartNo
Authorized OfficialSarah GibbertAdministrator · (478) 464-2600
Enumeration DateJanuary 3, 2006
Last NPPES UpdateAugust 7, 2014
NPI 1215915939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in GA · 011294
610 THIRD STREET, Macon, GA 31201

Other Identifiers 2

Medicare PIN111245ASCAGA
Medicaid720442190AGA

Accepted 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 11D1027514

Endoscopy Center Of Middle Georgia LLC · Macon, GA
Active · expires Jun 30, 2028
CLIA Number11D1027514
Laboratory TypeOther
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorCarley S. Ebanks
Laboratory Phone(478) 464-2600
Laboratory LocationEndoscopy Center Of Middle Georgia LLC610 Third Street Suite 102, Macon, GA 31201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

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 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.
729 services714 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.
389 services389 patients
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.
226 services225 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
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.
207 services203 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.
192 services192 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
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.
166 services166 patients

Other Providers at the Same Location NPPES 4

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

Physician Assistant (Medical)
610 THIRD STREET, STE 204
MACON, GA 31201
Internal Medicine (Gastroenterology)
610 THIRD STREET, SUITE 200
MACON, GA 31201
Internal Medicine (Gastroenterology)
610 THIRD STREET, STE 204
MACON, GA 31201
Anesthesiology
610 THIRD STREET
MACON, GA 31201

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 Endoscopy Center Of Middle Georgia LLC's NPI number?

The NPI number for Endoscopy Center Of Middle Georgia LLC is 1215915939. It was assigned to this organization in the NPPES registry on January 3, 2006.

Where is Endoscopy Center Of Middle Georgia LLC located?

Endoscopy Center Of Middle Georgia LLC is located at 610 Third Street, Macon, GA 31201. The listed phone number is (478) 464-2600.

What is Endoscopy Center Of Middle Georgia LLC's specialty?

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

Does Endoscopy Center Of Middle Georgia LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1027514) is associated with this NPI, valid through June 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Endoscopy Center Of Middle Georgia LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Endoscopy Center Of Middle Georgia 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 Endoscopy Center Of Middle Georgia LLC was last updated on August 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.