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HALIFAX GASTROENTEROLOGY PC
NPI 1306855770
Internal Medicine - Gastroenterology in Roanoke Rapids, NC

Active since August 05, 2006CLIA 34D1004739 · Waiver
1007 GREGORY DR, ROANOKE RAPIDS, NC 27870(252) 535-6478(252) 535-6483 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Halifax Gastroenterology Pc NPPES

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

HALIFAX GASTROENTEROLOGY PC (NPI 1306855770) is a healthcare organization registered as a gastroenterology in Roanoke Rapids, North Carolina and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists Padma Devi Yerra, Off Manager, as its authorized official.

NPPES Registry Identity

NPI1306855770
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameHALIFAX GASTROENTEROLOGY PC
Location Address1007 GREGORY DRRoanoke Rapids, NC 27870-6451
Mailing Address1007 Gregory DrRoanoke Rapids, NC 27870-6451 · (252) 535-6478 · Fax (252) 535-6483
Phone(252) 535-6478
Fax(252) 535-6483
Organization SubpartNo
Authorized OfficialPadma Devi YerraOff Manager · (252) 535-6478
Enumeration DateAugust 5, 2006
Last NPPES UpdateFebruary 4, 2014
✔ NPI 1306855770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NC · 9700163
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.
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X · License AS0141 (NC)
1007 GREGORY DR, Roanoke Rapids, NC 27870
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINF51270
Medicaid891068ENC
Other0167JNC · Bcbs
Medicare PIN2235302BNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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 34D1004739

Halifax Gastroenterology PC · Roanoke Rapids, NC
Active · expires Oct 3, 2026
CLIA Number34D1004739
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorNagarjuna Yerra MD
Laboratory Phone(252) 535-6478
Laboratory LocationHalifax Gastroenterology PC1007 Gregory Drive, Roanoke Rapids, NC 27870
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 6

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.

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.
67 services67 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.
54 services54 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
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.
43 services41 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.
39 services39 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.
36 services34 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.
16 services16 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.

ECU HEALTH HALIFAX ENDOSCOPY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1007 GREGORY DR
ROANOKE RAPIDS, NC 27870
Halifax County (252) 535-8951

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 Halifax Gastroenterology PC's NPI number?

The NPI number for Halifax Gastroenterology PC is 1306855770. It was assigned to this organization in the NPPES registry on August 5, 2006.

Where is Halifax Gastroenterology PC located?

Halifax Gastroenterology PC is located at 1007 Gregory Dr, Roanoke Rapids, NC 27870. The listed phone number is (252) 535-6478.

What is Halifax Gastroenterology PC's specialty?

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

Does Halifax Gastroenterology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1004739) is associated with this NPI, valid through October 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Halifax Gastroenterology PC accept?

Health plans from Blue Cross and Blue Shield of NC list Halifax Gastroenterology 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 Halifax Gastroenterology PC was last updated on February 4, 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.