Northeast Endoscopy Center, LLC
NPI 1578531208 · Ambulatory Surgical Clinic/Center · Lawrenceville, GA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Endoscopy Center, LLC is a Ambulatory Surgical Clinic/Center organization in Lawrenceville, GA (NPI 1578531208).
Provider details
- NPI number
- 1578531208
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Tanner, Director(678) 879-0999
- License
- 067329 (GA)
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
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
1,860 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 | 617 | $315 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 428 | $595 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 259 | $471 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 213 | $466 |
| Dilation of Esophagus43450 | 127 | $353 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High Risk |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-09
- Last updated
- 2014-08-07
Frequently asked questions
- What is Northeast Endoscopy Center, LLC's NPI number?
- Northeast Endoscopy Center, LLC's National Provider Identifier (NPI) is 1578531208, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Endoscopy Center, LLC?
- Northeast Endoscopy Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Northeast Endoscopy Center, LLC located?
- Northeast Endoscopy Center, LLC's practice location on file with NPPES is 721 Wellness Way, Lawrenceville, GA 30046-3304.
- What is Northeast Endoscopy Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Northeast Endoscopy Center, LLC is (678) 879-0999.
- Does Northeast Endoscopy Center, LLC accept Medicare?
- Northeast Endoscopy Center, 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 Northeast Endoscopy Center, LLC?
- The authorized official listed on Northeast Endoscopy Center, LLC's NPPES record is William Tanner, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Endoscopy Center, LLC's NPI active?
- Yes — Northeast Endoscopy Center, LLC's NPI (1578531208) is active in the NPPES registry as of the last update on 2014-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.