Gastrointestinal Diagnostic Endoscopy Woodstock, LLC
NPI 1760778765 · Ambulatory Surgical Clinic/Center · Woodstock, GA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gastrointestinal Diagnostic Endoscopy Woodstock, LLC is a Ambulatory Surgical Clinic/Center organization in Woodstock, GA (NPI 1760778765).
Provider details
- NPI number
- 1760778765
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tracy Jones, Practice Administration(678) 741-2317
Specialties & taxonomies
Ambulatory Health Care Facilities
- Endoscopy Clinic/Center261QE0800X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 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
1,667 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 | 463 | $479 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 463 | $602 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 402 | $317 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 115 | $466 |
| Dilation of Esophagus43450 | 106 | $385 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High Risk |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Town Lake Endoscopy Center
Registry dates
- Enumerated
- 2011-06-28
- Last updated
- 2025-12-03
- Certified
- 2025-12-03
Frequently asked questions
- What is Gastrointestinal Diagnostic Endoscopy Woodstock, LLC's NPI number?
- Gastrointestinal Diagnostic Endoscopy Woodstock, LLC's National Provider Identifier (NPI) is 1760778765, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gastrointestinal Diagnostic Endoscopy Woodstock, LLC?
- Gastrointestinal Diagnostic Endoscopy Woodstock, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Gastrointestinal Diagnostic Endoscopy Woodstock, LLC located?
- Gastrointestinal Diagnostic Endoscopy Woodstock, LLC's practice location on file with NPPES is 118 Mill St Ste 100, Woodstock, GA 30188-4880.
- What is Gastrointestinal Diagnostic Endoscopy Woodstock, LLC's phone number?
- The practice phone number listed in the NPPES registry for Gastrointestinal Diagnostic Endoscopy Woodstock, LLC is (770) 226-9070.
- Does Gastrointestinal Diagnostic Endoscopy Woodstock, LLC accept Medicare?
- Gastrointestinal Diagnostic Endoscopy Woodstock, 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 Gastrointestinal Diagnostic Endoscopy Woodstock, LLC?
- The authorized official listed on Gastrointestinal Diagnostic Endoscopy Woodstock, LLC's NPPES record is Tracy Jones, Practice Administration. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gastrointestinal Diagnostic Endoscopy Woodstock, LLC's NPI active?
- Yes — Gastrointestinal Diagnostic Endoscopy Woodstock, LLC's NPI (1760778765) is active in the NPPES registry as of the last update on 2025-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.