MEDICARE: DIGESTIVE HEALTHCARE OF GEORGIA ENDOSCOPY CENTER MOUNTAINSIDE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124277058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIGESTIVE HEALTHCARE OF GEORGIA ENDOSCOPY CENTER MOUNTAINSIDE

Provider Business Mailing Address
First Line	:	3280 HOWELL MILL RD NW STE T100
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-4122
Country	:	US
Telephone Number	:	404-603-3543
Fax Number	:	404-350-9316

Provider Business Practice Location Address
First Line	:	3280 HOWELL MILL RD NW STE T150
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-4123
Country	:	US
Telephone Number	:	404-603-3543
Fax Number	:	404-350-8795

Authorized Official
Title or Position	:	DIRECTOR OF NCIS
Name	:	SHELLY M ROBINSON
Credential	:
Telephone Number	:	404-603-3543

Provider Enumeration Date	:	09/16/2008
Last Update Date	:	04/11/2025

Similar Medicare Providers

1568256394 — NORTHERN GEORGIA ANESTHESIA ASSOCIATES, LLC
Practice Location Address:

3280 HOWELL MILL RD NW STE T150
ATLANTA, GA
30327-4123

Practice Phone: 404-355-3200
Practice Fax:

1093342131 — LINDSAY PARE
Practice Location Address:

2225 TWIN LAKES DR
ATLANTA, GA
30339-4123

Practice Phone: 978-837-8205
Practice Fax:

1477404168 — DASHANE COPE LPC
Practice Location Address:

3201 DOWNWOOD CIR NW UNIT 2314
ATLANTA, GA
30327-1732

Practice Phone: 404-666-5497
Practice Fax:

1992708929 — NOVAMED MANAGEMENT SERVICES LLC
Practice Location Address:

3200 DOWNWOOD CIR NW , STE 200
ATLANTA, GA
30327-1610

Practice Phone: 404-351-1990
Practice Fax: 404-355-8797

1558365247 — DIGESTIVE HEALTHCARE OF GA, P.C.
Practice Location Address:

3280 HOWELL MILL RD NW STE T100
ATLANTA, GA
30327-4122

Practice Phone: 404-603-3543
Practice Fax: 404-350-8795

1861496564 — DIGESTIVE HEALTHCARE OF GEORGIA ENDOSCOPY CENTER LLC
Practice Location Address:

3280 HOWELL MILL RD NW STE T150
ATLANTA, GA
30327-4111

Practice Phone: 404-603-3543
Practice Fax: 404-350-8795

Directions to “DIGESTIVE HEALTHCARE OF GEORGIA ENDOSCOPY CENTER MOUNTAINSIDE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.