SPECIALTY SURGICAL CENTER LLC NPI 1588152920

NPI Information

  • NPI: 1588152920
  • Provider Name: SPECIALTY SURGICAL CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 25D2149858
  • Address: 104 BURNEY DR
    FLOWOOD, MS
    ZIP 39232
  • Phone: (601) 987-8200

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NPI Details

SPECIALTY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Flowood, MS. SPECIALTY SURGICAL CENTER, LLC NPI is 1588152920. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

104 BURNEY DR
FLOWOOD, MS
ZIP 39232
Phone: (601) 987-8200
Fax: (601) 987-8211

The provider's authorized official is William Owen Mccraney .
The authorized official title is Managing Owner and has the following contact phone number (601) 987-8200.

The CLIA number assigned to this NPI record is 25D2149858 - 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.

  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Correction of toe joint deformity (HCPCS:28285)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Relocation of tendon of forearm and/or wrist (HCPCS:25310)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Treatment of broken forearm bone on thumb side of wrist, above wrist, with placement of stabilizing device (HCPCS:25607)

The enumeration date for this NPI number is 5/1/2018 and was last updated on 10/26/2018.

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
1207X00000XOrthopaedic SurgeryNo
2261QA1903XClinic/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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