Digestive Healthcare of Georgia Endoscopy Center Mountainside
NPI 1124277058 · Ambulatory Surgical Clinic/Center · Atlanta, GA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1124277058
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Digestive Healthcare of Georgia Endoscopy Center LLC
- Organization subpart
- Yes
- Authorized official
- Shelly Robinson, Director of Ncis(404) 603-3543
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
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,806 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 Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 491 | $364 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 464 | $602 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 267 | $477 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 143 | $466 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope45378 | 133 | $465 |
Practice location
Mailing address
Additional practice locations (1)
- 134 Mountainside Village ParkwayBldg 500Jasper, GA 30143-4895Phone: (706) 253-7340Fax: (706) 253-7342
Registry dates
- Enumerated
- 2008-09-16
- Last updated
- 2026-03-30
- Certified
- 2026-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.