MAE PHYSICIANS SURGERY CENTER, LLC
NPI 1033190129
Clinic/Center - Ambulatory Surgical in Jackson, MS

Active since November 07, 2005CLIA 25D0971993 · Waiver
1190 N STATE ST, STE 102, JACKSON, MS 39202(601) 968-1790(601) 292-4531 Get Directions Write a Review

NPPES record last updated: April 10, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mae Physicians Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAE PHYSICIANS SURGERY CENTER, LLC (NPI 1033190129) is a healthcare organization registered as an ambulatory surgical in Jackson, Mississippi and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Carla Glaze, Administrator, as its authorized official.

NPPES Registry Identity

NPI1033190129
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMAE PHYSICIANS SURGERY CENTER, LLC
Location Address1190 N STATE ST, STE 102Jackson, MS 39202-2413
Mailing AddressPo Box 12673Jackson, MS 39236-2673 · (601) 968-1790 · Fax (601) 292-4531
Fax(601) 292-4531
Organization SubpartNo
Authorized OfficialCarla GlazeAdministrator · (601) 968-1790
Enumeration DateNovember 7, 2005
Last NPPES UpdateApril 10, 2014
NPI 1033190129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1190 N STATE ST, Jackson, MS 39202

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D0971993

Mae Physicians Surgery Center · Jackson, MS
Active · expires Mar 27, 2028
CLIA Number25D0971993
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorTiffany Westerfield
Laboratory Phone(601) 968-1790
Laboratory LocationMae Physicians Surgery Center1190 North State Street Suite 102, Jackson, MS 39202
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 27

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,083 services673 patients
Insertion of sacral nerve neurostimulator electrode array 64561
The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.
192 services89 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
181 services122 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
138 services72 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
103 services56 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
85 services68 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
1190 N STATE ST, STE 403
JACKSON, MS 39202
Ophthalmology
1190 N STATE ST, STE 403
JACKSON, MS 39202
Durable Medical Equipment & Medical Supplies
1190 N STATE ST, SUITE 101
JACKSON, MS 39202
Family Medicine
1190 N STATE ST, LOWER LEVEL
JACKSON, MS 39202
Family Medicine
1190 N STATE ST, SUITE 201
JACKSON, MS 39202
Internal Medicine
1190 N STATE ST, SUITE 201
JACKSON, MS 39202
Physical Therapy Assistant
1190 N STATE ST
JACKSON, MS 39202
Physical Therapist
1190 N STATE ST
JACKSON, MS 39202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033190129, enumerated as an "organization" on November 07, 2005.

The provider is located at 1190 N STATE ST STE 102 JACKSON, MS 39202 and the phone number is (601) 968-1790.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.