WESTSIDE ENDOSCOPY CENTER PC
NPI 1487647483
Clinic/Center - Endoscopy in Austell, GA

Active since August 24, 2005CLIA 11D1013229 · Waiver
3825 MEDICAL PARK DR, SUITE 300, AUSTELL, GA 30106(678) 945-9600(770) 948-9149 Get Directions Write a Review

NPPES record last updated: March 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Westside Endoscopy Center Pc NPPES

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

WESTSIDE ENDOSCOPY CENTER PC (NPI 1487647483) is a healthcare organization registered as an endoscopy in Austell, Georgia and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Devon Spencer, Manager, as its authorized official.

NPPES Registry Identity

NPI1487647483
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameWESTSIDE ENDOSCOPY CENTER PC
Location Address3825 MEDICAL PARK DR, SUITE 300Austell, GA 30106-1109
Mailing Address3825 Medical Park Dr, Suite 300Austell, GA 30106-1109 · (678) 945-9600 · Fax (770) 948-9149
Fax(770) 948-9149
Organization SubpartNo
Authorized OfficialDevon SpencerManager · (770) 941-4810
Enumeration DateAugust 24, 2005
Last NPPES UpdateMarch 2, 2024
NPPES CertifiedMarch 2, 2024
NPI 1487647483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
License Licensed in GA · 033269
3825 MEDICAL PARK DR, Austell, GA 30106

Accepted 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 11D1013229

Westside Endoscopy Center PC · Austell, GA
Active · expires Jun 3, 2027
CLIA Number11D1013229
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorJasmine Jeffers MD
Laboratory Phone(678) 945-9600
Laboratory LocationWestside Endoscopy Center PC3825 Medical Park Drive, Austell, GA 30106
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 3

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.
43 services42 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.
18 services18 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.
12 services12 patients

Other Providers at the Same Location NPPES 16

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

Internal Medicine
3825 MEDICAL PARK DR, SUITE 201
AUSTELL, GA 30106
Internal Medicine (Cardiovascular Disease)
3825 MEDICAL PARK DR, SUITE100
AUSTELL, GA 30106
Internal Medicine
3825 MEDICAL PARK DR, SUITE 301
AUSTELL, GA 30106
Internal Medicine
3825 MEDICAL PARK DR, SUITE 100
AUSTELL, GA 30106
Internal Medicine (Cardiovascular Disease)
3825 MEDICAL PARK DR, SUITE 301
AUSTELL, GA 30106
Internal Medicine (Cardiovascular Disease)
3825 MEDICAL PARK DR, SUITE 100
AUSTELL, GA 30106
Internal Medicine (Gastroenterology)
3825 MEDICAL PARK DR, SUITE 300
AUSTELL, GA 30106
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3825 MEDICAL PARK DR, SUITE 201
AUSTELL, GA 30106

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 Westside Endoscopy Center PC's NPI number?

The NPI number for Westside Endoscopy Center PC is 1487647483. It was assigned to this organization in the NPPES registry on August 24, 2005.

Where is Westside Endoscopy Center PC located?

Westside Endoscopy Center PC is located at 3825 Medical Park Dr Suite 300, Austell, GA 30106. The listed phone number is (678) 945-9600.

What is Westside Endoscopy Center PC's specialty?

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

Does Westside Endoscopy Center PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1013229) is associated with this NPI, valid through June 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Westside Endoscopy Center PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Westside Endoscopy Center 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 Westside Endoscopy Center PC was last updated on March 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.