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GASTROINTESTINAL DIAGNOSTIC ENDOSCOPY WOODSTOCK, LLC
NPI 1760778765
Clinic/Center - Ambulatory Surgical in Woodstock, GA

Active since June 28, 2011CLIA 11D2029444 · Waiver
118 MILL ST STE 100, WOODSTOCK, GA 30188(770) 226-9070(770) 226-8863 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gastrointestinal Diagnostic Endoscopy Woodstock, Llc NPPES

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

GASTROINTESTINAL DIAGNOSTIC ENDOSCOPY WOODSTOCK, LLC (NPI 1760778765), doing business as Town Lake Endoscopy Center, is a healthcare organization registered as an ambulatory surgical in Woodstock, Georgia and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through September 7, 2027 and lists Tracy L Jones, Practice Administration, as its authorized official.

NPPES Registry Identity

NPI1760778765
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGASTROINTESTINAL DIAGNOSTIC ENDOSCOPY WOODSTOCK, LLC
Location Address118 MILL ST STE 100Woodstock, GA 30188-4880
Mailing Address2550 Windy Hill Rd Se Ste 302Marietta, GA 30067-8655 · (678) 741-5000 · Fax (678) 741-2301
Phone(770) 226-9070
Fax(770) 226-8863
Organization SubpartNo
Authorized OfficialTracy L JonesPractice Administration · (678) 741-2317
Enumeration DateJune 28, 2011
Last NPPES UpdateDecember 3, 2025
NPPES CertifiedDecember 3, 2025
✔ NPI 1760778765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in GA · 028-451
Also ListedClinic/Center · EndoscopyTaxonomy 261QE0800X
118 MILL ST STE 100, Woodstock, GA 30188
Open in Google Maps ↗

Other Names 1

Doing Business AsTown Lake 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 11D2029444

Gastrointestinal Diagnostic Endoscopy Woodstock, LLC Dba Town Lake Endoscopy Center · Woodstock, GA
Active · expires Sep 7, 2027
CLIA Number11D2029444
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorArif Aziz
Laboratory Phone(770) 226-9070
Laboratory LocationGastrointestinal Diagnostic Endoscopy Woodstock, LLC Dba Town Lake Endoscopy Center118 Mill Street, Suite 100, Woodstock, GA 30188
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 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.

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.
463 services462 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.
463 services462 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.
402 services399 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.
115 services113 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
106 services105 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.
55 services55 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 Gastrointestinal Diagnostic Endoscopy Woodstock, LLC's NPI number?

The NPI number for Gastrointestinal Diagnostic Endoscopy Woodstock, LLC is 1760778765. It was assigned to this organization in the NPPES registry on June 28, 2011. The provider is doing business as Town Lake Endoscopy Center.

Where is Gastrointestinal Diagnostic Endoscopy Woodstock, LLC located?

Gastrointestinal Diagnostic Endoscopy Woodstock, LLC is located at 118 Mill St Ste 100, Woodstock, GA 30188. The listed phone number is (770) 226-9070.

What is Gastrointestinal Diagnostic Endoscopy Woodstock, LLC's specialty?

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

Does Gastrointestinal Diagnostic Endoscopy Woodstock, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2029444) is associated with this NPI, valid through September 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gastrointestinal Diagnostic Endoscopy Woodstock, 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 Gastrointestinal Diagnostic Endoscopy Woodstock, 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 Gastrointestinal Diagnostic Endoscopy Woodstock, LLC was last updated on December 3, 2025. 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.