Gastrointestinal Associates Endoscopy Center, LLC
NPI 1366634669ActiveOrganization· Clinic/Center, Endoscopy· Vicksburg, MS
Clinic/Center, Endoscopy in Vicksburg, Mississippi, registered in NPPES in August 2007, part of Gastrointestinal Associates Endoscopy Center, LLC. The authorized official on file is Pierce D. Dotherow, M.D., Authorized Official. Medicare paid $287,118 for services to 606 patients in 2024.
Overview
| NPI | 1366634669 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Gastrointestinal Associates Endoscopy Center, LLC |
| NPI issued | Aug 10, 2007 |
| Last updated in NPPES | Dec 6, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Endoscopy Primary | 261QE0800X | 25C0001065 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 606 |
|---|---|
| Services billed | 854 across 21 procedure codes |
| Paid by Medicare | $287,118 |