Southern Gastroenterology Endoscopy Center, P.C.
NPI 1265137517 · Ambulatory Surgical Clinic/Center · South Boston, VA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Gastroenterology Endoscopy Center, P.C. is a Ambulatory Surgical Clinic/Center organization in South Boston, VA (NPI 1265137517).
Provider details
- NPI number
- 1265137517
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Luedtke, Practice Manager(434) 572-8196
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Southern Gastroenterology Associates, PC
Registry dates
- Enumerated
- 2023-04-04
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Frequently asked questions
- What is Southern Gastroenterology Endoscopy Center, P.C.'s NPI number?
- Southern Gastroenterology Endoscopy Center, P.C.'s National Provider Identifier (NPI) is 1265137517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Gastroenterology Endoscopy Center, P.C.?
- Southern Gastroenterology Endoscopy Center, P.C. is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Gastroenterology Endoscopy Center, P.C. located?
- Southern Gastroenterology Endoscopy Center, P.C.'s practice location on file with NPPES is 149 Aubrey'S Loop, South Boston, VA 24592.
- What is Southern Gastroenterology Endoscopy Center, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Southern Gastroenterology Endoscopy Center, P.C. is (434) 572-8196.
- Does Southern Gastroenterology Endoscopy Center, P.C. accept Medicare?
- Southern Gastroenterology Endoscopy Center, P.C. 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 Gastroenterology Endoscopy Center, P.C.?
- The authorized official listed on Southern Gastroenterology Endoscopy Center, P.C.'s NPPES record is Susan Luedtke, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Gastroenterology Endoscopy Center, P.C.'s NPI active?
- Yes — Southern Gastroenterology Endoscopy Center, P.C.'s NPI (1265137517) is active in the NPPES registry as of the last update on 2025-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.