ST AUGUSTINE ENDOSCOPY CENTER LLC
NPI 1841251501
Clinic/Center - Ambulatory Surgical in St Augustine, FL

Q: What is St Augustine Endoscopy Center LLC's NPI number?

The NPI number for St Augustine Endoscopy Center LLC is 1841251501. It was assigned to this organization in the NPPES registry on March 31, 2006.

Q: What is St Augustine Endoscopy Center LLC's specialty?

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

Active since March 31, 2006CLIA 10D1074662 · Waiver

40 GROOVER LOOP STE 100, ST AUGUSTINE, FL 32086(904) 824-6108(904) 823-9613 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2026, Feb 24, 2022, Nov 9, 2020 and 2 more (5 updates tracked since 2019).

On this page

About St Augustine Endoscopy Center Llc NPPES

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

ST AUGUSTINE ENDOSCOPY CENTER LLC (NPI 1841251501) is a healthcare organization registered as an ambulatory surgical in St Augustine, Florida and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists Collin Lemaistre, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1841251501

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameST AUGUSTINE ENDOSCOPY CENTER LLC

Location Address40 GROOVER LOOP STE 100St Augustine, FL 32086-6569

Mailing Address40 Groover Loop Ste 100Saint Augustine, FL 32086-6569 · (904) 824-6108

Phone(904) 824-6108

Fax(904) 823-9613

Organization SubpartNo

Authorized OfficialCollin LemaistreOfficer/authorized Official · (214) 213-0732

Enumeration DateMarch 31, 2006

Last NPPES UpdateMarch 24, 20265 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1841251501 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 FL · 812

40 GROOVER LOOP STE 100, St Augustine, FL 32086

Open in Google Maps ↗

Other Identifiers 1

Medicaid079055900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 10D1074662

St Augustine Endoscopy Center LLC · Saint Augustine, FL

Active · expires Oct 2, 2027

CLIA Number10D1074662

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 3, 2025

Certificate Expiration DateOctober 2, 2027

Laboratory DirectorAnis Ahmadi

Laboratory Phone(904) 824-6108

Laboratory LocationSt Augustine Endoscopy Center LLC40 Groover Loop Ste 100, Saint Augustine, FL 32086

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 16

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.

1,459 services1,429 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.

1,340 services1,329 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.

1,236 services1,225 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.

247 services235 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.

229 services229 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.

159 services159 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.

93 services91 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.

51 services51 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.

38 services38 patients

Removal of large bowel tissue using a flexible endoscope 45390

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

36 services36 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.

35 services35 patients

Banding of hemorrhoids using a flexible endoscope (colonoscope) 45398

Banding of hemorrhoids using a colonoscope is a procedure to treat swollen blood vessels in your lower digestive tract. A flexible tube with a light and camera, called a colonoscope, helps locate the hemorrhoids. Then, tiny rubber bands are placed around them, cutting off their blood supply. This causes them to shrink and fall off.

29 services29 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.

25 services25 patients

Colorectal cancer screening; flexible sigmoidoscopy G0104

Flexible sigmoidoscopy is a procedure used to check the lower part of your large intestine. It involves a thin, flexible tube with a camera on the end. This allows your doctor to view the inside of your intestine, helping to detect any abnormal growths or changes early.

24 services24 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.

22 services22 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

12 services11 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 St Augustine Endoscopy Center LLC's NPI number?

The NPI number for St Augustine Endoscopy Center LLC is 1841251501. It was assigned to this organization in the NPPES registry on March 31, 2006.

Where is St Augustine Endoscopy Center LLC located?

St Augustine Endoscopy Center LLC is located at 40 Groover Loop Ste 100, St Augustine, FL 32086. The listed phone number is (904) 824-6108.

What is St Augustine Endoscopy Center LLC's specialty?

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

Does St Augustine Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1074662) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Augustine Endoscopy Center LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list St Augustine Endoscopy Center 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 St Augustine Endoscopy Center LLC was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.