SOUTHEASTERN ENDOSCOPY CENTER LLC
NPI 1932819554
Clinic/Center - Ambulatory Surgical in Columbus, GA

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

The NPI number for Southeastern Endoscopy Center LLC is 1932819554. It was assigned to this organization in the NPPES registry on December 5, 2022.

Q: What is Southeastern 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 December 05, 2022CLIA 11D2274820 · Waiver

2200 HAMILTON RD STE A, COLUMBUS, GA 31904(706) 655-8800 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 19, 2022, Dec 5, 2022 (2 updates tracked since 2022).

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About Southeastern Endoscopy Center Llc NPPES

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

SOUTHEASTERN ENDOSCOPY CENTER LLC (NPI 1932819554) is a healthcare organization registered as an ambulatory surgical in Columbus, Georgia and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through January 10, 2027 and lists Shane Darrah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1932819554

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSOUTHEASTERN ENDOSCOPY CENTER LLC

Location Address2200 HAMILTON RD STE AColumbus, GA 31904-8889

Mailing AddressPo Box 8629Columbus, GA 31908-8629

Phone(706) 655-8800

Organization SubpartNo

Authorized OfficialShane DarrahCeo · (706) 326-6743

Enumeration DateDecember 5, 2022

Last NPPES UpdateDecember 19, 20222 updates tracked since enumeration

NPPES CertifiedDecember 19, 2022

✔ NPI 1932819554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

2200 HAMILTON RD STE A, Columbus, GA 31904

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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 11D2274820

Southeastern Endoscopy Center · Columbus, GA

Active · expires Jan 10, 2027

CLIA Number11D2274820

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJanuary 11, 2025

Certificate Expiration DateJanuary 10, 2027

Laboratory DirectorJordan M. Joiner

Laboratory Phone(706) 655-8800

Laboratory LocationSoutheastern Endoscopy Center2200 Hamilton Road, Suite A, Columbus, GA 31904

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 4

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.

27 services27 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.

18 services18 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

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.

14 services13 patients

Other Providers at the Same Location NPPES

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

SOUTHEASTERN ANESTHESIA GROUP LLC

Anesthesiology

2200 HAMILTON RD STE A
COLUMBUS, GA 31904

Muscogee County (706) 655-8800

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 Southeastern Endoscopy Center LLC's NPI number?

The NPI number for Southeastern Endoscopy Center LLC is 1932819554. It was assigned to this organization in the NPPES registry on December 5, 2022.

Where is Southeastern Endoscopy Center LLC located?

Southeastern Endoscopy Center LLC is located at 2200 Hamilton Rd Ste A, Columbus, GA 31904. The listed phone number is (706) 655-8800.

What is Southeastern Endoscopy Center LLC's specialty?

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

Does Southeastern Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2274820) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southeastern Endoscopy Center LLC was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.