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PREMIER SURGICAL CENTER, LLC
NPI 1093214819
Clinic/Center - Ambulatory Surgical in Madison, MS

Active since February 07, 2018CLIA 25D2148487 · Waiver
160 FOUNTAINS BLVD, MADISON, MS 39110(601) 968-8132(601) 944-9780 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Premier Surgical Center, Llc NPPES

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

PREMIER SURGICAL CENTER, LLC (NPI 1093214819) is a healthcare organization registered as an ambulatory surgical in Madison, Mississippi and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through May 10, 2028 and lists Rebekah Elizabeth Henderson, Or Aministrator, as its authorized official.

NPPES Registry Identity

NPI1093214819
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePREMIER SURGICAL CENTER, LLC
Location Address160 FOUNTAINS BLVDMadison, MS 39110
Mailing Address160 Fountains Blvd Ste CMadison, MS 39110-6380 · (601) 391-2525 · Fax (601) 586-5315
Phone(601) 968-8132
Fax(601) 944-9780
Organization SubpartNo
Authorized OfficialRebekah Elizabeth HendersonOr Aministrator · (601) 391-2525
Enumeration DateFebruary 7, 2018
Last NPPES UpdateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1093214819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
160 FOUNTAINS BLVD, Madison, MS 39110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Plan, Inc., UnitedHealthcare.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 25D2148487

Premier Surgical Center, LLC · Madison, MS
Active · expires May 10, 2028
CLIA Number25D2148487
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorStacy Jones
Laboratory Phone(601) 391-2525
Laboratory LocationPremier Surgical Center, LLC160 Fountains Blvd, Madison, MS 39110
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

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.

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.
15 services11 patients

Other Providers at the Same Location NPPES 3

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

HS SURGERY, PLLC
Clinic/Center (Ambulatory Surgical)
160 FOUNTAINS BLVD
MADISON, MS 39110
Madison County (601) 714-1025
MISSISSIPPI PREMIER PLASTIC SURGERY, PLLC
Surgery (Plastic and Reconstructive Surgery)
160 FOUNTAINS BLVD, SUITE B
MADISON, MS 39110
Madison County (601) 981-2525
ASHLEY HOLIFIELD ATKINSON MSN, APRN, FNP-C
Nurse Practitioner
160 FOUNTAINS BLVD
MADISON, MS 39110
Madison County (601) 981-2525

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 Premier Surgical Center, LLC's NPI number?

The NPI number for Premier Surgical Center, LLC is 1093214819. It was assigned to this organization in the NPPES registry on February 7, 2018.

Where is Premier Surgical Center, LLC located?

Premier Surgical Center, LLC is located at 160 Fountains Blvd, Madison, MS 39110. The listed phone number is (601) 968-8132.

What is Premier Surgical Center, LLC's specialty?

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

Does Premier Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2148487) is associated with this NPI, valid through May 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Surgical Center, LLC accept?

Health plans from Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Premier Surgical 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 Premier Surgical Center, LLC was last updated on March 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.