{"npi":"1821106923","type":"NPI-2","status":"active","name":{"display":"Endoscopy Center Of Coastal Georgia, LLC","other":[],"organization_name":"ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC","authorised_official":"Judy Gilliam"},"specialty":{"primary_taxonomy":"261QA1903X","primary_taxonomy_description":"Ambulatory Surgical Clinic/Center","slug":"ambulatory-surgical-clinic-center","schema_org_specialty":null,"all":[{"code":"261QA1903X","description":"Ambulatory Surgical Clinic/Center","primary":true,"state":"GA","license":"86172S"}]},"addresses":[{"purpose":"LOCATION","street_1":"519 STEPHENSON AVE","city":"SAVANNAH","state":"GA","postal_code":"314055969","country_code":"US","phone":"9123549447","fax":"9123039246"},{"purpose":"MAILING","street_1":"519 STEPHENSON AVE","city":"SAVANNAH","state":"GA","postal_code":"314055969","country_code":"US","phone":"9123549447","fax":"9123039246"}],"license":{"state":"GA","number":"86172S"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"000969702A","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040526000258","type_code":"12-49","type_desc":"PART B SUPPLIER - AMBULATORY SURGICAL CENTER","state":"GA","pac_id":"4082695044"}]},"enumeration_date":"2006-08-28","last_updated":"2009-03-09","_meta":{"source":"NPPES","snapshot_date":"2009-03-09","doc_url":"https://findmynpi.com/api"}}