SPECIALTY SURGERY & LASER CENTER
NPI 1194214510
Clinic/Center - Ambulatory Surgical in Corinth, MS

Active since May 02, 2018CLIA 25D2158902 · Waiver
306 BRADLEY RD STE A, CORINTH, MS 38834(662) 286-6068(662) 286-0188 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2018, May 2, 2018 (2 updates tracked since 2018).

About Specialty Surgery & Laser Center NPPES

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

SPECIALTY SURGERY & LASER CENTER (NPI 1194214510) is a healthcare organization registered as an ambulatory surgical in Corinth, Mississippi and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists John R Shipp, Owner, as its authorized official.

NPPES Registry Identity

NPI1194214510
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSPECIALTY SURGERY & LASER CENTER
Location Address306 BRADLEY RD STE ACorinth, MS 38834-7047
Mailing Address306 Bradley Rd Ste ACorinth, MS 38834-7047 · (662) 286-6068 · Fax (662) 286-0188
Fax(662) 286-0188
Organization SubpartNo
Authorized OfficialJohn R ShippOwner · (662) 286-6068
Enumeration DateMay 2, 2018
Last NPPES UpdateMay 9, 20182 updates tracked since enumeration
NPI 1194214510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
306 BRADLEY RD STE A, Corinth, MS 38834

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 25D2158902

Specialty Surgery & Laser Center · Corinth, MS
Active · expires Dec 9, 2026
CLIA Number25D2158902
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorDr. Darwin B. Wooten
Laboratory Phone(662) 286-6068
Laboratory LocationSpecialty Surgery & Laser Center306 Bradley Rd Ste A, Corinth, MS 38834
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 11

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.

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg J1096
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.
3,576 services528 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.
955 services554 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.
784 services139 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.
187 services139 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
97 services60 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.
82 services42 patients

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 Specialty Surgery & Laser Center's NPI number?

The NPI number for Specialty Surgery & Laser Center is 1194214510. It was assigned to this organization in the NPPES registry on May 2, 2018.

Where is Specialty Surgery & Laser Center located?

Specialty Surgery & Laser Center is located at 306 Bradley Rd Ste A, Corinth, MS 38834. The listed phone number is (662) 286-6068.

What is Specialty Surgery & Laser Center's specialty?

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

Does Specialty Surgery & Laser Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2158902) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Specialty Surgery & Laser Center accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Specialty Surgery & Laser Center 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 Specialty Surgery & Laser Center was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.