G.I.ENDOSCOPY CENTER
NPI 1861596967
Clinic/Center - Ambulatory Surgical in Riverdale, GA

Active since September 11, 2006CLIA 11D1072747 · Waiver
6555 PROFESSIONAL PL, SUITE B, RIVERDALE, GA 30274(770) 996-5959 Get Directions Write a Review

NPPES record last updated: March 5, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About G.i.endoscopy Center NPPES

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

G.I.ENDOSCOPY CENTER (NPI 1861596967) is a healthcare organization registered as an ambulatory surgical in Riverdale, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Jay R Prakash, President, as its authorized official.

NPPES Registry Identity

NPI1861596967
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameG.I.ENDOSCOPY CENTER
Location Address6555 PROFESSIONAL PL, SUITE BRiverdale, GA 30274-4903
Mailing Address6555 Professional Pl, Suite BRiverdale, GA 30274-4903 · (770) 996-5959
Organization SubpartNo
Authorized OfficialJay R PrakashPresident · (770) 996-5959
Enumeration DateSeptember 11, 2006
Last NPPES UpdateMarch 5, 2013
✔ NPI 1861596967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6555 PROFESSIONAL PL, Riverdale, GA 30274

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

G.i.endoscopy Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to G.I.Endoscopy Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Colorectal Surgery (Proctology)
NPI 1497945968
1240 EAGLES LANDING PKWY SUITE 260
Stockbridge, GA 30281
(404) 351-7900
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11D1072747

Gi Endoscopy Center · Riverdale, GA
Active · expires Aug 22, 2027
CLIA Number11D1072747
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorJay Prakash
Laboratory Phone(770) 692-0100
Laboratory LocationGi Endoscopy Center6555 Professional Place Suite B, Riverdale, GA 30274
CLIA data matches this NPI record on: Address
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.

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.
53 services53 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.
40 services38 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.
28 services28 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 G.I.Endoscopy Center's NPI number?

The NPI number for G.I.Endoscopy Center is 1861596967. It was assigned to this organization in the NPPES registry on September 11, 2006.

Where is G.I.Endoscopy Center located?

G.I.Endoscopy Center is located at 6555 Professional Pl Suite B, Riverdale, GA 30274. The listed phone number is (770) 996-5959.

What is G.I.Endoscopy Center's specialty?

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

Is G.I.Endoscopy Center enrolled in Medicare?

Yes. G.I.Endoscopy Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through G.I.Endoscopy Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Colorectal Surgery (Proctology)) reassigns their Medicare billing to G.I.Endoscopy Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does G.I.Endoscopy Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1072747) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does G.I.Endoscopy Center accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list G.I.Endoscopy Center 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 G.I.Endoscopy Center was last updated on March 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.