SOUTH GEORGIA ENDOSCOPY CENTER, INC
NPI 1841304797
Clinic/Center - Ambulatory Surgical in Waycross, GA

Q: What is South Georgia Endoscopy Center, Inc's NPI number?

The NPI number for South Georgia Endoscopy Center, Inc is 1841304797. It was assigned to this organization in the NPPES registry on August 18, 2006.

Q: What is South Georgia Endoscopy Center, Inc's specialty?

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

Active since August 18, 2006CLIA 11D0991485 · Waiver

1501 ALICE ST, WAYCROSS, GA 31501(912) 285-0877(912) 287-0387 Get Directions Write a Review

NPPES record last updated: January 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About South Georgia Endoscopy Center, Inc NPPES

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

SOUTH GEORGIA ENDOSCOPY CENTER, INC (NPI 1841304797) is a healthcare organization registered as an ambulatory surgical in Waycross, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Sohail A Choudhri, Owner, as its authorized official.

NPPES Registry Identity

NPI1841304797

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSOUTH GEORGIA ENDOSCOPY CENTER, INC

Location Address1501 ALICE STWaycross, GA 31501-4530

Mailing Address1501 Alice StWaycross, GA 31501-4530 · (912) 285-0877 · Fax (912) 287-0387

Phone(912) 285-0877

Fax(912) 287-0387

Organization SubpartNo

Authorized OfficialSohail A ChoudhriOwner · (912) 285-0877

Enumeration DateAugust 18, 2006

Last NPPES UpdateJanuary 2, 2013

✔ NPI 1841304797 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 · 148228

1501 ALICE ST, Waycross, GA 31501

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Other Identifiers 5

Medicare UPING29327GA

Medicare UPING55136GA

Medicaid00539459CGA

Medicare UPINE44868GA

Medicare ID-Type Unspecified111196ASCAGA

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 11D0991485

South Georgia Endoscopy Center Inc · Waycross, GA

Active · expires Sep 20, 2027

CLIA Number11D0991485

Laboratory TypePhysician Office

Certificate Effective DateSeptember 21, 2025

Certificate Expiration DateSeptember 20, 2027

Laboratory DirectorCraig A. Kubik MD

Laboratory Phone(912) 285-0877

Laboratory LocationSouth Georgia Endoscopy Center Inc1501 Alice Street, Waycross, GA 31501

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.

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.

186 services184 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.

167 services165 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.

93 services87 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.

90 services90 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.

88 services88 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.

37 services37 patients

Other Providers at the Same Location NPPES 6

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

LORIE ANN LINDSAY RN, MSN FNP-C

Nurse Practitioner (Family)