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OGI WT JV LLC
NPI 1427795913
Clinic/Center - Ambulatory Surgical in Jackson, TN

Active since May 16, 2022CLIA 44D2276220 · Waiver
27 MEDICAL CENTER DR BLDG 2, JACKSON, TN 38301(731) 424-1001 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 3, 2026, Mar 10, 2025, Oct 12, 2023 and 5 more (8 updates tracked since 2022).

About Ogi Wt Jv Llc NPPES

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

OGI WT JV LLC (NPI 1427795913), doing business as Skyline Endoscopy Of West Tennessee, is a healthcare organization registered as an ambulatory surgical in Jackson, Tennessee and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Kristina Materna, Director, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1427795913
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameOGI WT JV LLC
Location Address27 MEDICAL CENTER DR BLDG 2Jackson, TN 38301-3949
Mailing AddressOne Gi Credentialing Department, Po Box 381468Germantown, TN 38183-1468
Phone(731) 424-1001
Organization SubpartNo
Authorized OfficialKristina MaternaDirector, Credentialing · (901) 377-8219
Enumeration DateMay 16, 2022
Last NPPES UpdateFebruary 3, 20268 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1427795913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
27 MEDICAL CENTER DR BLDG 2, Jackson, TN 38301
Open in Google Maps ↗

Other Names 1

Doing Business AsSkyline Endoscopy Of West Tennessee

Other Identifiers 1

MedicaidQ090731TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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 44D2276220

Ogi Wt Jv LLC Dba Skyline Endoscopy Of West Tennessee · Jackson, TN
Active · expires Feb 5, 2027
CLIA Number44D2276220
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorBrittain D. Little
Laboratory Phone(731) 280-0156
Laboratory LocationOgi Wt Jv LLC Dba Skyline Endoscopy Of West Tennessee27 Medical Center Drive, Building 2, Jackson, TN 38301
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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.
533 services529 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.
308 services305 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.
170 services170 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.
127 services127 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.
112 services112 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.
112 services104 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 Ogi Wt Jv LLC's NPI number?

The NPI number for Ogi Wt Jv LLC is 1427795913. It was assigned to this organization in the NPPES registry on May 16, 2022. The provider is doing business as Skyline Endoscopy Of West Tennessee.

Where is Ogi Wt Jv LLC located?

Ogi Wt Jv LLC is located at 27 Medical Center Dr Bldg 2, Jackson, TN 38301. The listed phone number is (731) 424-1001.

What is Ogi Wt Jv LLC's specialty?

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

Does Ogi Wt Jv LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2276220) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ogi Wt Jv LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Ogi Wt Jv 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 Ogi Wt Jv LLC was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.