MEDICARE: WATKINSVILLE OCONEE ENDOSCOPY LLC

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	261QE0800X	Endoscopy Clinic/Center

General Provider Information

NPI Number	:	1992653992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WATKINSVILLE OCONEE ENDOSCOPY LLC

Provider Business Mailing Address
First Line	:	1360 CADUCEUS WAY BLDG 700
Second Line	:
City	:	WATKINSVILLE
State	:	GA
Zip	:	30677-7300
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1360 CADUCEUS WAY BLDG 700
Second Line	:
City	:	WATKINSVILLE
State	:	GA
Zip	:	30677-7300
Country	:	US
Telephone Number	:	404-888-7575
Fax Number	:

Authorized Official
Title or Position	:	SENIOR MANAGER PAYER ENROLLMENT
Name	:	JULIE MANGINE
Credential	:
Telephone Number	:	404-888-7575

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

Similar Medicare Providers

1487621827 — CHRISTIAN PSYCHOTHERAPY RESOURCES, INC.
Practice Location Address:

1360 CADUCEUS WAY STE 102
WATKINSVILLE, GA
30677-7300

Practice Phone: 706-282-8442
Practice Fax: 706-310-6907

1053358366 — DR. KENNETH BRADLEY HALL DMD
Practice Location Address:

1360 CADUCEUS WAY , BLDG 900 STE 101
WATKINSVILLE, GA
30677-7300

Practice Phone: 706-543-3629
Practice Fax: 706-543-5107

1750391470 — BARBARA MARIE D'ORIO MD, MPA
Practice Location Address:

1360 CADUCEUS WAY , BLDG 400, STE 102
WATKINSVILLE, GA
30677-7300

Practice Phone: 706-286-8442
Practice Fax: 706-286-8442

1215033212 — MS. IVETTE LOPEZ BLEDSOE LCSW
Practice Location Address:

1360 CADUCEUS WAY BLDG 400 , SUITE 102
WATKINSVILLE, GA
30677-7300

Practice Phone: 706-286-8442
Practice Fax:

1942385166 — ROHIT TONGIA MD
Practice Location Address:

1360 CADUCEUS WAY , BUILDING 600 SUITE 105
WATKINSVILLE, GA
30677-7300

Practice Phone: 706-850-3795
Practice Fax: 877-580-1676

1770615825 — DR. JAMES J MCDONALD JR. D.M.D.
Practice Location Address:

1360 CADUCEUS WAY , BLDG 500 STE 101
WATKINSVILLE, GA
30677-7300

Practice Phone: 706-548-0604
Practice Fax: 706-353-0884

Directions to “WATKINSVILLE OCONEE ENDOSCOPY LLC ” 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.