SOUTHERN CRESCENT ENDOSCOPY SUITE, PC
NPI 1245276195
Clinic/Center - Endoscopy in Stockbridge, GA

Q: What is Southern Crescent Endoscopy Suite, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.

Active since June 21, 2006CLIA 11D1016538 · Waiver

150 N PARK TRL STE A, STOCKBRIDGE, GA 30281(770) 507-0909(770) 907-8448 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southern Crescent Endoscopy Suite, Pc NPPES

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

SOUTHERN CRESCENT ENDOSCOPY SUITE, PC (NPI 1245276195) is a healthcare organization registered as an endoscopy in Stockbridge, Georgia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Jung Whun Suh, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1245276195

Entity TypeOrganization

Primary Taxonomy261QE0800X

Legal Business NameSOUTHERN CRESCENT ENDOSCOPY SUITE, PC

Location Address150 N PARK TRL STE AStockbridge, GA 30281-7372

Mailing Address550 Peachtree St Ne, Suite 1600Atlanta, GA 30308-2208 · (404) 888-7575 · Fax (404) 885-7777

Phone(770) 507-0909

Fax(770) 907-8448

Organization SubpartNo

Authorized OfficialJung Whun SuhChief Medical Officer · (404) 888-7575

Enumeration DateJune 21, 2006

Last NPPES UpdateJune 28, 2022

NPPES CertifiedJune 28, 2022

✔ NPI 1245276195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities

Taxonomy Code261QE0800X

150 N PARK TRL STE A, Stockbridge, GA 30281

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Other Identifiers 1

Medicaid00779402AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 11D1016538

Southern Crescent Endoscopy Suite, LLC · Stockbridge, GA

Active · expires Sep 1, 2027

CLIA Number11D1016538

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 2, 2025

Certificate Expiration DateSeptember 1, 2027

Laboratory DirectorChristopher A. Brown

Laboratory Phone(770) 507-0909

Laboratory LocationSouthern Crescent Endoscopy Suite, LLC150 North Park Trail, Stockbridge, GA 30281

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 9

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.

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.

376 services374 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.

249 services247 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.

163 services163 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.

82 services82 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.

79 services79 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

61 services60 patients

Other Providers at the Same Location NPPES

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

MARCIA CHRISTIAN CRNA

Nurse Anesthetist, Certified Registered

150 N PARK TRL STE A
STOCKBRIDGE, GA 30281

Henry County (770) 507-0909

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 Southern Crescent Endoscopy Suite, PC's NPI number?

The NPI number for Southern Crescent Endoscopy Suite, PC is 1245276195. It was assigned to this organization in the NPPES registry on June 21, 2006.

Where is Southern Crescent Endoscopy Suite, PC located?

Southern Crescent Endoscopy Suite, PC is located at 150 N Park Trl Ste A, Stockbridge, GA 30281. The listed phone number is (770) 507-0909.

What is Southern Crescent Endoscopy Suite, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.

Does Southern Crescent Endoscopy Suite, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1016538) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Crescent Endoscopy Suite, PC 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 Southern Crescent Endoscopy Suite, PC 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 Southern Crescent Endoscopy Suite, PC was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.