Southern Endoscopy Suite, LLC
NPI 1215986609 · Endoscopy Clinic/Center · Lawrenceville, GA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Endoscopy Suite, LLC is a Endoscopy Clinic/Center organization in Lawrenceville, GA (NPI 1215986609).
Provider details
- NPI number
- 1215986609
- Entity type
- Organization
- Primary specialty
- Endoscopy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Kukler, Owner(678) 985-2000
Specialties & taxonomies
Ambulatory Health Care Facilities
- Ambulatory Surgical Clinic/Center261QA1903X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 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
1,118 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 | 312 | $507 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 308 | $375 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 224 | $582 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 132 | $466 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 70 | $459 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2017-11-28
Frequently asked questions
- What is Southern Endoscopy Suite, LLC's NPI number?
- Southern Endoscopy Suite, LLC's National Provider Identifier (NPI) is 1215986609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Endoscopy Suite, LLC?
- Southern Endoscopy Suite, LLC is classified in the NPPES registry as Endoscopy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Endoscopy Suite, LLC located?
- Southern Endoscopy Suite, LLC's practice location on file with NPPES is 763 Old Norcross Rd, Lawrenceville, GA 30045-4317.
- What is Southern Endoscopy Suite, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Endoscopy Suite, LLC is (678) 985-2000.
- Does Southern Endoscopy Suite, LLC accept Medicare?
- Southern Endoscopy Suite, LLC 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 Southern Endoscopy Suite, LLC?
- The authorized official listed on Southern Endoscopy Suite, LLC's NPPES record is Mark Kukler, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Endoscopy Suite, LLC's NPI active?
- Yes — Southern Endoscopy Suite, LLC's NPI (1215986609) is active in the NPPES registry as of the last update on 2017-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.