JEFFERSON ASC LLC NPI 1174128359

NPI Information

  • NPI: 1174128359
  • Provider Name: JEFFERSON ASC, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: VOLUNTEER SURGERY CENTER
  • CLIA Number: 44D2221417
  • Address: 6242 W ANDREW JOHNSON HWY
    TALBOTT, TN
    ZIP 37877
  • Phone: (702) 271-8476

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NPI Details

JEFFERSON ASC, LLC is an ambulatory surgical clinic center in Talbott, TN. JEFFERSON ASC, LLC NPI is 1174128359. The provider is registered as an organization entity type.
The provider Is Doing Business As Volunteer Surgery Center.

The provider's business location address is:

6242 W ANDREW JOHNSON HWY
TALBOTT, TN
ZIP 37877-604
Phone: (702) 271-8476

The provider's authorized official is Kristina Music .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (615) 465-7377.

The CLIA number assigned to this NPI record is 44D2221417 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Release and/or relocation of hand nerve (HCPCS:64721)

The enumeration date for this NPI number is 12/3/2020 and was last updated on 8/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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