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.

OrganizationActiveAccepts Medicare

Southern Endoscopy Suite, LLC

NPI 1215986609 · Endoscopy Clinic/Center · Lawrenceville, GA

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

Practice location

763 Old Norcross Rd

Lawrenceville, GA 30045-4317

Phone: (678) 985-2000

Fax: (678) 985-1999

Street-level locationGet directions

More GA providers

Mailing address

763 Old Norcross Rd

Lawrenceville, GA 30045-4317

Specialties & taxonomies

Endoscopy Clinic/CenterPrimary261QE0800XLicense 067-200 (GA)
Ambulatory Health Care Facilities
Ambulatory Surgical Clinic/Center261QA1903X
Ambulatory Health Care Facilities

Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(77/100 index)

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

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

What this provider does (Medicare)

Registry dates

Frequently asked questions

Specialties & taxonomies

Frequently asked questions

Profile Score

What this provider does (Medicare)