JACKSON SURGERY CENTER LLC NPI 1336375930

NPI Details

JACKSON SURGERY CENTER, LLC is an ambulatory surgical clinic center in Montgomery, AL. JACKSON SURGERY CENTER, LLC NPI is 1336375930. The provider is registered as an organization entity type.

The provider's business location address is:

1725 PARK PL
MONTGOMERY, AL
ZIP 36106-138
Phone: (334) 293-8484
Fax: (334) 293-6880

The provider's authorized official is Missy Sallas .
The authorized official title is Administrator and has the following contact phone number (334) 293-3920.

The CLIA number assigned to this NPI record is 01D1102832 - 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.

• Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
• Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
• Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
• Removal of nasal air passage under lining tissue (HCPCS:30140)
• Removal of nasal sinus tissue using an endoscope (HCPCS:31267)
• Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
• Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
• Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
• Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
• Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
• Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
• Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
• Reshaping of nasal cartilage (HCPCS:30520)
• Exploration of nasal sinus using an endoscope (HCPCS:31276)
• Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
• Removal of tissue from sphenoid sinus using an endoscope (HCPCS:31259)
• Repair of urethra and urinary opening (HCPCS:53450)
• Dilation of urethra in female under general or spinal anesthesia (HCPCS:53665)
• Plastic repair of vagina and tissue separating vagina, rectum, and bladder (HCPCS:57260)
• Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
• Replacement of knee joint, both sides of knee (HCPCS:27447)
• Dilation of esophagus (HCPCS:43450)
• Cocaine hydrochloride nasal solution for topical administration, 1 mg (HCPCS:C9046)
• Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
• Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
• Destruction of surface soft tissue of nasal passages (HCPCS:30802)

The enumeration date for this NPI number is 6/9/2009 and was last updated on 2/14/2022.

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: