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WATKINSVILLE OCONEE ENDOSCOPY LLC
NPI 1992653992
Clinic/Center - Endoscopy in Watkinsville, GA

Active since March 17, 2026CLIA 11D2339110 · Waiver
1360 CADUCEUS WAY BLDG 700, WATKINSVILLE, GA 30677(404) 888-7575 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Watkinsville Oconee Endoscopy Llc NPPES

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

WATKINSVILLE OCONEE ENDOSCOPY LLC (NPI 1992653992) is a healthcare organization registered as an endoscopy in Watkinsville, Georgia and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Julie Mangine, Senior Manager Payer Enrollment, as its authorized official.

NPPES Registry Identity

NPI1992653992
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameWATKINSVILLE OCONEE ENDOSCOPY LLC
Location Address1360 CADUCEUS WAY BLDG 700Watkinsville, GA 30677-7300
Mailing Address1360 Caduceus Way Bldg 700Watkinsville, GA 30677-7300
Phone(404) 888-7575
Organization SubpartNo
Authorized OfficialJulie MangineSenior Manager Payer Enrollment · (404) 888-7575
Enumeration DateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
✔ NPI 1992653992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
1360 CADUCEUS WAY BLDG 700, Watkinsville, GA 30677
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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 11D2339110

Watkinsville Oconee Endoscopy Center · Watkinsville, GA
Active · expires Feb 23, 2028
CLIA Number11D2339110
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorBradley D. Shepherd
Laboratory Phone(404) 888-7575
Laboratory LocationWatkinsville Oconee Endoscopy Center1360 Caduceus Way, Watkinsville, GA 30677
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Watkinsville Oconee Endoscopy LLC's NPI number?

The NPI number for Watkinsville Oconee Endoscopy LLC is 1992653992. It was assigned to this organization in the NPPES registry on March 17, 2026.

Where is Watkinsville Oconee Endoscopy LLC located?

Watkinsville Oconee Endoscopy LLC is located at 1360 Caduceus Way Bldg 700, Watkinsville, GA 30677. The listed phone number is (404) 888-7575.

What is Watkinsville Oconee Endoscopy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.

Does Watkinsville Oconee Endoscopy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2339110) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Watkinsville Oconee Endoscopy LLC was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.