SUMMIT ENDOSCOPY CENTER
NPI 1427052026
Clinic/Center - Ambulatory Surgical in Fayetteville, GA

Q: What is Summit Endoscopy Center's NPI number?

The NPI number for Summit Endoscopy Center is 1427052026. It was assigned to this organization in the NPPES registry on June 10, 2005.

Q: What is Summit Endoscopy Center's specialty?

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

Active since June 10, 2005CLIA 11D0973026 · Waiver

1265 HIGHWAY 54 W, STE 401, FAYETTEVILLE, GA 30214(678) 817-6505(678) 817-6502 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 24, 2026, Feb 12, 2025, Dec 16, 2024 and 1 more (4 updates tracked since 2024).

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About Summit Endoscopy Center NPPES

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

SUMMIT ENDOSCOPY CENTER (NPI 1427052026) is a healthcare organization registered as an ambulatory surgical in Fayetteville, Georgia and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Shelly M Robinson, Director Of Ncis, as its authorized official.

NPPES Registry Identity

NPI1427052026

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSUMMIT ENDOSCOPY CENTER

Location Address1265 HIGHWAY 54 W, STE 401Fayetteville, GA 30214-4537

Mailing Address3280 Howell Mill Rd Nw Ste T100Atlanta, GA 30327-4122 · (678) 817-6505 · Fax (678) 817-6502

Phone(678) 817-6505

Fax(678) 817-6502

Organization SubpartNo

Authorized OfficialShelly M RobinsonDirector Of Ncis · (770) 490-5009

Enumeration DateJune 10, 2005

Last NPPES UpdateJuly 24, 20264 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1427052026 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 · 056192

1265 HIGHWAY 54 W, Fayetteville, GA 30214

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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 11D0973026

Summit Endoscopy Center LLC · Fayetteville, GA

Active · expires Apr 24, 2028

CLIA Number11D0973026

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateApril 25, 2026

Certificate Expiration DateApril 24, 2028

Laboratory DirectorDr. John Burney

Laboratory Phone(678) 817-6505

Laboratory LocationSummit Endoscopy Center LLC1265 Hwy 54 West Ste 401-B, Fayetteville, GA 30214

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 14

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.

1,012 services974 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.

747 services741 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

716 services712 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.

617 services614 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.

447 services434 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.

280 services280 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.

129 services129 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.

105 services105 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

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.

40 services38 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.

16 services16 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.

16 services14 patients

Biopsy of lower large bowel using a flexible endoscope 45331

A biopsy of the lower large bowel involves using a flexible tube with a camera (endoscope) to examine this part of your digestive tract. Small tissue samples may be taken for further examination to detect any abnormalities.

14 services14 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

13 services13 patients

Diagnostic exam of lower portion of large bowel using a flexible endoscope 45330

This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.

12 services12 patients

Other Providers at the Same Location NPPES 20

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

MR. RYAN CHRISTOPHER YOLITZ PT

Physical Therapist

1265 HIGHWAY 54 W, SUITE 103 AND 308
FAYETTEVILLE, GA 30214

Fayette County (770) 460-1900

A CUT ABOVE SURGICAL ASSISTING, LLC

Specialist/Technologist, Other (Surgical Assistant)

1265 HIGHWAY 54 W
FAYETTEVILLE, GA 30214

Fayette County (404) 862-0746

DR. JOHN E BURNEY M.D.

Internal Medicine (Gastroenterology)

1265 HIGHWAY 54 W, STE 402
FAYETTEVILLE, GA 30214

Fayette County (678) 817-6550

DR. BRYAN L WOODS M.D.

Internal Medicine (Gastroenterology)

1265 HIGHWAY 54 W, STE 402
FAYETTEVILLE, GA 30214

Fayette County (770) 719-3240

DR. JARRYD A JACKSON PHARMD

Pharmacist

1265 HIGHWAY 54 W, SUITE #201
FAYETTEVILLE, GA 30214

Fayette County (678) 435-3046

DAVID MICHEL PA

Physician Assistant (Medical)

1265 HIGHWAY 54 W, SUITE 102
FAYETTEVILLE, GA 30214

Fayette County (770) 460-1900

OLUMUYIWA JOSHUA MD

Internal Medicine (Critical Care Medicine)

1265 HIGHWAY 54 W, SUITE 500-D
FAYETTEVILLE, GA 30214

Fayette County (770) 719-5625

CAROL D MARTIN NP

Nurse Practitioner

1265 HIGHWAY 54 W, SUITE 409
FAYETTEVILLE, GA 30214

Fayette County (678) 817-6505

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 Summit Endoscopy Center's NPI number?

The NPI number for Summit Endoscopy Center is 1427052026. It was assigned to this organization in the NPPES registry on June 10, 2005.

Where is Summit Endoscopy Center located?

Summit Endoscopy Center is located at 1265 Highway 54 W Ste 401, Fayetteville, GA 30214. The listed phone number is (678) 817-6505.

What is Summit Endoscopy Center's specialty?

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

Does Summit Endoscopy Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0973026) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Summit Endoscopy Center 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 Summit Endoscopy Center 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 Summit Endoscopy Center was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.