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: August 16, 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 26

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

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
1,800 services12 patients
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.
1,176 services718 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.
158 services68 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 services70 patients
Removal of eye fluid (vitreous) between lens and retina 67036
This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.
81 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.
76 services41 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.

Physical Medicine & Rehabilitation (Pain Medicine)
1190 N STATE ST, SUITE 202
JACKSON, MS 39202
Surgery
1190 N STATE ST, SUITE 502
JACKSON, MS 39202
Surgery
1190 N STATE ST, STE 502
JACKSON, MS 39202
Pain Medicine (Pain Medicine)
1190 N STATE ST, SUITE 300
JACKSON, MS 39202
Ophthalmology
1190 N STATE ST, STE 403
JACKSON, MS 39202
Surgery
1190 N STATE ST, SUITE 502
JACKSON, MS 39202
Social Worker (Clinical)
1190 N STATE ST, SUITE 301
JACKSON, MS 39202
Family Medicine
1190 N STATE ST, LOWER LEVEL
JACKSON, MS 39202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mae Physicians Surgery Center, LLC's NPI number?

The NPI number for Mae Physicians Surgery Center, LLC is 1033190129. It was assigned to this organization in the NPPES registry on November 7, 2005.

Where is Mae Physicians Surgery Center, LLC located?

Mae Physicians Surgery Center, LLC is located at 1190 N State St Ste 102, Jackson, MS 39202. The listed phone number is (601) 968-1790.

What is Mae Physicians Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Mae Physicians Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0971993) is associated with this NPI, valid through March 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mae Physicians Surgery Center, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Mae Physicians Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mae Physicians Surgery Center, LLC was last updated on April 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.