PHYSICIANS SURGERY CENTER
NPI 1053385856
Clinic/Center - Ambulatory Surgical in Jackson, TN

Active since February 16, 2006CLIA 44D0996180 · Waiver
207 STONEBRIDGE BLVD, JACKSON, TN 38305(731) 661-6340(731) 661-6363 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Physicians Surgery Center NPPES

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

PHYSICIANS SURGERY CENTER (NPI 1053385856) is a healthcare organization registered as an ambulatory surgical in Jackson, Tennessee and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through February 11, 2028 and lists Sean Neel, Market President, as its authorized official.

NPPES Registry Identity

NPI1053385856
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameJACKSON OPHTHALMOLOGY ASC LLC
Location Address207 STONEBRIDGE BLVDJackson, TN 38305-2040
Mailing Address207 Stonebridge BlvdJackson, TN 38305-2040 · (731) 661-6340 · Fax (731) 661-6363
Fax(731) 661-6363
Organization SubpartNo
Authorized OfficialSean NeelMarket President · (731) 661-6343
Enumeration DateFebruary 16, 2006
Last NPPES UpdateNovember 6, 2024
NPPES CertifiedNovember 6, 2024
NPI 1053385856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in TN · 0000000075
207 STONEBRIDGE BLVD, Jackson, TN 38305

Other Names 1

Doing Business AsPhysicians Surgery Center

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 44D0996180

Jackson Ophthalmology ASC LLC Dba Physicians Surgery Center · Jackson, TN
Active · expires Feb 11, 2028
CLIA Number44D0996180
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorLisa D. Wall
Laboratory Phone(731) 661-6340
Laboratory LocationJackson Ophthalmology ASC LLC Dba Physicians Surgery Center207 Stonebridge Blvd, Jackson, TN 38305
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 40

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, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
8,248 services61 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.
1,323 services739 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
608 services398 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
216 services191 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.
201 services104 patients
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
148 services28 patients

Other Providers at the Same Location NPPES 4

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

Nurse Anesthetist, Certified Registered
207 STONEBRIDGE BLVD
JACKSON, TN 38305
Nurse Anesthetist, Certified Registered
207 STONEBRIDGE BLVD
JACKSON, TN 38305
Nurse Anesthetist, Certified Registered
207 STONEBRIDGE BLVD
JACKSON, TN 38305
Nurse Anesthetist, Certified Registered
207 STONEBRIDGE BLVD
JACKSON, TN 38305

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 Jackson Ophthalmology ASC LLC's NPI number?

The NPI number for Jackson Ophthalmology ASC LLC is 1053385856. It was assigned to this organization in the NPPES registry on February 16, 2006. The provider is doing business as Physicians Surgery Center.

Where is Jackson Ophthalmology ASC LLC located?

Jackson Ophthalmology ASC LLC is located at 207 Stonebridge Blvd, Jackson, TN 38305. The listed phone number is (731) 661-6340.

What is Jackson Ophthalmology ASC LLC's specialty?

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

Does Jackson Ophthalmology ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0996180) is associated with this NPI, valid through February 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jackson Ophthalmology ASC LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter of Alabama and 9 other insurers list Jackson Ophthalmology ASC 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 Jackson Ophthalmology ASC LLC was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.