ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC – Ambulatory Surgical Clinic/Center, NPI 1821106923

ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC is a healthcare provider. based in Savannah, Georgia. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 86172S (GA). The NPI Number for ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC is 1821106923

Main info

Organization
Name
ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC
NPI
1821106923
Phone
(912) 354-9447
Address
519 STEPHENSON AVE
Authorized Official
MRS. JUDY L GILLIAM BILLING MANAGER
Enumeration Date
28 August 2006
Last Update Date
9 March 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC

  • 519, Stephenson Avenue, Highland Park, Savannah, Chatham County, Georgia, 31405, United States

    SAVANNAH, GA 314055969

    Phone: (912) 354-9447

    Fax: (912) 303-9246

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040526000258OAmbulatory Surgical CenterGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare564560$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope383367$0
45380Biopsy of large bowel using a flexible endoscope168168$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk128127$0
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk6160$0
View full utilization report →

Insurance plans in this area (ZIP 31405)

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Reviews

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Frequently asked questions

What unique ID ties claims to ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC?
NPI 1821106923 is assigned to ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC under the national enumeration system.
Is ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC's NPI currently valid?
The extract we use shows ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC as active.
What field does ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC work in?
You can think of ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC as practicing within Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
Does ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC practice in Georgia?
You will see Savannah, Georgia on file for ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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