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PANOLA ENDOSCOPY CENTER
NPI 1275871147
Clinic/Center - Endoscopy in Lithonia, GA

Active since January 28, 2013CLIA 11D2057790 · Waiver
5403 HILLANDALE PARK COURT, SUITE A, LITHONIA, GA 30058(770) 817-0224(770) 817-0228 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Panola Endoscopy Center NPPES

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

PANOLA ENDOSCOPY CENTER (NPI 1275871147) is a healthcare organization registered as an endoscopy in Lithonia, Georgia and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Jana Baker, Administrator, as its authorized official.

NPPES Registry Identity

NPI1275871147
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NamePANOLA ENDOSCOPY CENTER LLC
Location Address5403 HILLANDALE PARK COURT, SUITE ALithonia, GA 30058
Mailing Address550 Peachtree St Ne, Suite 1600Atlanta, GA 30308-2208 · (404) 888-7575 · Fax (404) 885-7777
Phone(770) 817-0224
Fax(770) 817-0228
Organization SubpartNo
Authorized OfficialJana BakerAdministrator · (404) 888-7575
Enumeration DateJanuary 28, 2013
✔ NPI 1275871147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
5403 HILLANDALE PARK COURT, Lithonia, GA 30058
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Other Names 1

Doing Business AsPanola Endoscopy Center

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 11D2057790

Panola Endocsopy Center, LLC · Atlanta, GA
Active · expires Apr 23, 2027
CLIA Number11D2057790
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorTommie H. Haywood III
Laboratory Phone(404) 881-1094
Laboratory LocationPanola Endocsopy Center, LLC550 Peachtree Street, NE, Suite 1660, Atlanta, GA 30308
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.
96 services94 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.
67 services67 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.
62 services62 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.
38 services38 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.
34 services34 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.
26 services26 patients

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 Panola Endoscopy Center LLC's NPI number?

The NPI number for Panola Endoscopy Center LLC is 1275871147. It was assigned to this organization in the NPPES registry on January 28, 2013. The provider is doing business as Panola Endoscopy Center.

Where is Panola Endoscopy Center LLC located?

Panola Endoscopy Center LLC is located at 5403 Hillandale Park Court Suite A, Lithonia, GA 30058. The listed phone number is (770) 817-0224.

What is Panola Endoscopy Center LLC's specialty?

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

Does Panola Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2057790) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Panola Endoscopy Center 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 Panola 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 Panola Endoscopy Center LLC was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.