PSG SURGERY CENTER LLC NPI 1194245951

NPI Information

  • NPI: 1194245951
  • Provider Name: PSG SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • CLIA Number: 45D2143035
  • Address: 1010 S COULTER ST
    AMARILLO, TX
    ZIP 79106
  • Phone: (806) 418-8870

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NPI Details

PSG SURGERY CENTER LLC is an ambulatory surgical clinic center in Amarillo, TX. PSG SURGERY CENTER LLC NPI is 1194245951. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1010 S COULTER ST
AMARILLO, TX
ZIP 79106-781
Phone: (806) 418-8870
Fax: (806) 418-6684

The provider's authorized official is Michael Lee Grant .
The authorized official title is Administrator and has the following contact phone number (806) 418-8870.

The CLIA number assigned to this NPI record is 45D2143035 - 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.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Injection, meloxicam, 1 mg (HCPCS:J1738)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Release and/or relocation of elbow nerve (HCPCS:64718)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Insertion of pacemaker and upper and lower heart chamber electrode (HCPCS:33208)
  • Removal and replacement of dual lead permanent pacemaker (HCPCS:33228)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
  • Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin (HCPCS:0275T)

The enumeration date for this NPI number is 6/22/2017 and was last updated on 9/12/2025.

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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