Fayetteville Gastroenterology Associates, P.A.
NPI 1417141623 · Endoscopy Clinic/Center · Fayetteville, NC
Fayetteville Gastroenterology Associates, P.A. is a Endoscopy Clinic/Center organization in Fayetteville, NC (NPI 1417141623).
Provider details
- NPI number
- 1417141623
- Entity type
- Organization
- Primary specialty
- Endoscopy Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Fayetteville Gastroenterology Associates, P.A.
- Organization subpart
- Yes
- Authorized official
- Tina Casillo, Practice Administrator(910) 323-5203
- License
- AS0071 (NC)
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
18 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
- Fayetteville Endoscopy
Registry dates
- Enumerated
- 2007-08-30
- Last updated
- 2021-02-11
- Certified
- 2021-02-11
Frequently asked questions
- What is Fayetteville Gastroenterology Associates, P.A.'s NPI number?
- Fayetteville Gastroenterology Associates, P.A.'s National Provider Identifier (NPI) is 1417141623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fayetteville Gastroenterology Associates, P.A.?
- Fayetteville Gastroenterology Associates, P.A. is classified in the NPPES registry as Endoscopy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fayetteville Gastroenterology Associates, P.A. located?
- Fayetteville Gastroenterology Associates, P.A.'s practice location on file with NPPES is 2041 Valleygate Dr, Fayetteville, NC 28304-3745.
- What is Fayetteville Gastroenterology Associates, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Fayetteville Gastroenterology Associates, P.A. is (910) 323-5203.
- Who is the authorized official for Fayetteville Gastroenterology Associates, P.A.?
- The authorized official listed on Fayetteville Gastroenterology Associates, P.A.'s NPPES record is Tina Casillo, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fayetteville Gastroenterology Associates, P.A.'s NPI active?
- Yes — Fayetteville Gastroenterology Associates, P.A.'s NPI (1417141623) is active in the NPPES registry as of the last update on 2021-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.