SOUTHPORT SURGERY CENTER LLC
NPI 1134857501
Clinic/Center - Ambulatory Surgical in Southport, CT
NPI Status: Active since August 12, 2022
Contact Information
2600 POST RD
SOUTHPORT, CT
ZIP 06890
Phone: (203) 980-0368
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 07D2167376
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 06-05-2027
About SOUTHPORT SURGERY CENTER LLC
This page provides the complete NPI Profile along with additional information for Southport Surgery Center Llc, a provider established in Southport, Connecticut operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1134857501 assigned on August 2022. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Keith Gipson Md (Manager)
- NPI
- 1134857501
- Provider Name
- SOUTHPORT SURGERY CENTER LLC
- Entity Type
- Organization
- Location Address
- 2600 POST RD SOUTHPORT, CT 06890
- Location Phone
- (203) 980-0368
- Mailing Address
- 2600 POST RD SOUTHPORT, CT 06890
- Mailing Phone
- (203) 980-0368
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-12-2022
- Last Update Date
- 08-12-2022
- 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
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.
Biopsy of prostate gland
Removal of cataract with insertion of prosthetic lens
Removal of recurring cataract in lens capsule using a laser
Ultrasound scan of pelvic region through rectum
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
This service was performed 16 times for 16 patientsThis 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.
This service was performed 35 times for 24 patientsThis 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.
This service was performed 28 times for 21 patientsAn ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
This service was performed 15 times for 15 patientsCLIA 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
- 07D2167376
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- June 06, 2025
- Certificate Expiration Date
- June 05, 2027
- Laboratory Director
- KEITH GIPSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southport Surgery 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.
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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 1134857501, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SOUTHPORT, CT 06890
SOUTHPORT, CT 06890
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134857501, enumerated as an "organization" on August 12, 2022.
The provider is located at 2600 POST RD SOUTHPORT, CT 06890 and the phone number is (203) 980-0368.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
