Fayetteville Gastroenterology Associates, P.A.
NPI 1417141623ActiveOrganization· Clinic/Center, Endoscopy· Fayetteville, NC
Clinic/Center, Endoscopy in Fayetteville, North Carolina, registered in NPPES in August 2007, part of Fayetteville Gastroenterology Associates, P.A. The authorized official on file is Tina M. Casillo, Practice Administrator.
Overview
| NPI | 1417141623 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Fayetteville Gastroenterology Associates, P.A. |
| NPI issued | Aug 30, 2007 |
| Last updated in NPPES | Feb 11, 2021 |
| Certified by provider | Feb 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Endoscopy Primary | 261QE0800X | AS0071 | NC |
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 |
|---|
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