NPI age
20 years
Enumerated 2006-05-10
● Active Type 2 · Organization
Southern Endoscopy Suite, Llc
Southern Endoscopy Suite, Llc is 1 of 35 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kukler
Owner
Last NPPES update
2017-11-28
Source: monthly bulk 2026-05
How this organization compares
Across 35 active clinic/center providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 8% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
763 Old Norcross Rd
Lawrenceville, GA 300454317
Mailing address
763 Old Norcross Rd
Lawrenceville, GA 300454317
Authorized official
Mark B. Kukler, D.O.,
Owner
📞 6789852000
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Ashley Ashford, FNP-C Nurse Practitioner NPI 1457298184
- Stephen Beasley Internal Medicine NPI 1568897668
- Mark Kukler, D.O. Internal Medicine NPI 1093765265
- Arvind Kulkarni, M.D. Internal Medicine NPI 1548210859
- Marcelle Owens, M.D. Internal Medicine NPI 1295785814
- Amil Patel, MD Internal Medicine NPI 1952588394
- Tanya Rutledge, M.D. Internal Medicine NPI 1952350332
- Tariq Salim, MD Internal Medicine NPI 1598293326
- Scott Schorr, M.D. Internal Medicine NPI 1275583437
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.