JACKSONVILLE SURGICAL & MEDICAL AFFILIATES, LLC
NPI 1104078831
Clinic/Center in Jacksonville, AL

Active since October 13, 2008
1460 2ND AVE SW, JACKSONVILLE, AL 36265(256) 782-4395 Get Directions Write a Review

NPPES record last updated: October 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacksonville Surgical & Medical Affiliates, Llc NPPES

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

JACKSONVILLE SURGICAL & MEDICAL AFFILIATES, LLC (NPI 1104078831) is a healthcare organization registered as a clinic/center in Jacksonville, Alabama and active in the NPI registry since October 2008. The organization lists Tammy Cobb, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104078831
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJACKSONVILLE SURGICAL & MEDICAL AFFILIATES, LLC
Location Address1460 2ND AVE SWJacksonville, AL 36265-3358
Mailing Address1460 2nd Ave SwJacksonville, AL 36265-3358 · (256) 782-4395
Organization SubpartNo
Authorized OfficialTammy CobbCfo · (256) 782-4520
Enumeration DateOctober 13, 2008
NPI 1104078831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1460 2ND AVE SW, Jacksonville, AL 36265

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.

Clinic/Center
1460 2ND AVE SW, B
JACKSONVILLE, AL 36265
Family Medicine
1460 2ND AVE SW
JACKSONVILLE, AL 36265
Internal Medicine
1460 2ND AVE SW
JACKSONVILLE, AL 36265

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 Jacksonville Surgical & Medical Affiliates, LLC's NPI number?

The NPI number for Jacksonville Surgical & Medical Affiliates, LLC is 1104078831. It was assigned to this organization in the NPPES registry on October 13, 2008.

Where is Jacksonville Surgical & Medical Affiliates, LLC located?

Jacksonville Surgical & Medical Affiliates, LLC is located at 1460 2nd Ave SW, Jacksonville, AL 36265. The listed phone number is (256) 782-4395.

What is Jacksonville Surgical & Medical Affiliates, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Jacksonville Surgical & Medical Affiliates, LLC was last updated on October 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.