JASPER SURGERY CENTER LLC NPI 1730842311

NPI Information

  • NPI: 1730842311
  • Provider Name: JASPER SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 11D2256761
  • Address: 1101 OLD PHILADELPHIA RD STE G200
    JASPER, GA
    ZIP 30143
  • Phone: (205) 422-5189

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NPI Details

JASPER SURGERY CENTER LLC is an ambulatory surgical clinic center in Jasper, GA. JASPER SURGERY CENTER LLC NPI is 1730842311. The provider is registered as an organization entity type.

The provider's business location address is:

1101 OLD PHILADELPHIA RD STE G200
JASPER, GA
ZIP 30143-044
Phone: (205) 422-5189
Fax: (833) 989-2501

The provider's authorized official is Ankur Patel .
The authorized official title is Owner and has the following contact phone number (205) 422-5189.

The CLIA number assigned to this NPI record is 11D2256761 - 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 of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)

The enumeration date for this NPI number is 10/20/2021 and was last updated on 3/18/2022.

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:

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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