Locust Grove Endo Center
NPI 1023134640 · Ambulatory Surgical Clinic/Center · Locust Grove, GA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Locust Grove Endo Center is a Ambulatory Surgical Clinic/Center organization in Locust Grove, GA (NPI 1023134640).
Provider details
- NPI number
- 1023134640
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Aruna Prakash, Administrator(770) 692-0100
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
443 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 162 | $472 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 120 | $424 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 90 | $601 |
| Balloon Dilation of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope, Less Than 3.0 Cm43249 | 23 | $821 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope45378 | 17 | $468 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2020-08-22
Frequently asked questions
- What is Locust Grove Endo Center's NPI number?
- Locust Grove Endo Center's National Provider Identifier (NPI) is 1023134640, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Locust Grove Endo Center?
- Locust Grove Endo Center is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Locust Grove Endo Center located?
- Locust Grove Endo Center's practice location on file with NPPES is 4865 Bill Gardner Parkway, Locust Grove, GA 30248.
- What is Locust Grove Endo Center's phone number?
- The practice phone number listed in the NPPES registry for Locust Grove Endo Center is (770) 692-0100.
- Does Locust Grove Endo Center accept Medicare?
- Locust Grove Endo Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Locust Grove Endo Center?
- The authorized official listed on Locust Grove Endo Center's NPPES record is Aruna Prakash, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Locust Grove Endo Center's NPI active?
- Yes — Locust Grove Endo Center's NPI (1023134640) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.