1. Home
  2. Directory
  3. Mississippi
  4. Madison
  5. Clinic Center
  6. NPI Profile 1093214819

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

NPI Status: Active since February 07, 2018

Contact Information

160 FOUNTAINS BLVD
MADISON, MS
ZIP 39110
Phone: (601) 968-8132
Fax: (601) 944-9780

Get Directions Write a Review

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Insurance Plans Accepted
  4. Authorized Official
  5. Areas of Expertise
  6. CLIA Information
  7. NPI Validation
  8. Other Providers Same Location
  9. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 25D2148487
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-10-2028

About PREMIER SURGICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for Premier Surgical Center, Llc, a provider established in Madison, Mississippi operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1093214819 assigned on February 2018. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Rebekah Elizabeth Henderson Rn (Or Aministrator)

NPI
1093214819
Provider Name
PREMIER SURGICAL CENTER, LLC
Entity Type
Organization
Location Address
160 FOUNTAINS BLVD MADISON, MS 39110
Location Phone
(601) 968-8132
Location Fax
(601) 944-9780
Mailing Address
160 FOUNTAINS BLVD STE C MADISON, MS 39110
Mailing Phone
(601) 391-2525
Mailing Fax
(601) 944-9780
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-07-2018
Last Update Date
03-12-2024
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Molina Healthcare

  • Molina Gold Standard - HMO
  • Molina Silver Standard - HMO

Oscar Health Plan, Inc.

  • Bronze Classic Standard - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Gold Classic Standard - HMO
  • Silver Classic Standard - HMO
  • Silver Simple - HMO
  • Silver Simple Chronic Care CKM - HMO

UnitedHealthcare

  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Essential (No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Copay Focus + $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Value + ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Silver Advantage + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

REBEKAH ELIZABETH HENDERSON RN

Authorized Official Title
OR AMINISTRATOR
Authorized Official Phone
(601) 391-2525

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

This service was performed 12 times for 12 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less

This procedure involves repairing a wound on your face, ears, eyelids, nose, lips, or mouth. The wound is 2.5 cm or less in size. The repair process includes cleaning, treating, and stitching the wound to promote optimal healing. It's a standard, safe procedure.

This service was performed 16 times for 16 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less

This procedure involves the repair of a wound that is located on the scalp, underarms, trunk, arms, or legs and is 2.5 cm or less in size. The repair is intermediate, meaning it's more complex than a simple closure, but not as extensive as a complex repair.

This service was performed 16 times for 16 patients

Release and/or relocation of hand nerve

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.

This service was performed 13 times for 13 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

This service was performed 13 times for 11 patients

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm

This procedure involves the careful removal of a small cancerous growth on the face, ears, eyelids, nose, lips, or mouth. It's a precise operation performed by a specialist to ensure complete removal of the cancer while preserving healthy tissue.

This service was performed 16 times for 12 patients

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm

This procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.

This service was performed 26 times for 20 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
25D2148487
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 11, 2026
Certificate Expiration Date
May 10, 2028
Laboratory Director
STACY JONES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Premier Surgical Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PREMIER SURGICAL CENTER, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093214819, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 4 + 1 + 8 + 8 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1093214819.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

What is PREMIER SURGICAL CENTER, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1093214819, enumerated as an "organization" on February 07, 2018.

Where is the provider located?

The provider is located at 160 FOUNTAINS BLVD MADISON, MS 39110 and the phone number is (601) 968-8132.

What is the provider's specialty?

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

What insurance does PREMIER SURGICAL CENTER, LLC accept?

The provider might be accepting Accepts: Molina Healthcare, Oscar Health Plan, Inc. and. Please consult your insurance carrier or call the provider to verify.