MAYFIELD AMBULATORY SURGERY CENTER, LLC
NPI 1245985407
Clinic/Center - Ambulatory Surgical in Jonesboro, AR

Active since February 16, 2022CLIA 04D2265067 · Waiver
1710 MAYFIELD DR, JONESBORO, AR 72401(844) 215-0731(888) 630-8885 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mayfield Ambulatory Surgery Center, Llc NPPES

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

MAYFIELD AMBULATORY SURGERY CENTER, LLC (NPI 1245985407) is a healthcare organization registered as an ambulatory surgical in Jonesboro, Arkansas and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through July 21, 2028 and lists Elizabeth Waddell, Asc Administrator, as its authorized official.

NPPES Registry Identity

NPI1245985407
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMAYFIELD AMBULATORY SURGERY CENTER, LLC
Location Address1710 MAYFIELD DRJonesboro, AR 72401-4563
Mailing Address108 N Shackleford RdLittle Rock, AR 72211-2840 · (844) 215-0731 · Fax (888) 630-5558
Fax(888) 630-8885
Organization SubpartNo
Authorized OfficialElizabeth WaddellAsc Administrator · (501) 766-1065
Enumeration DateFebruary 16, 2022
NPPES CertifiedFebruary 16, 2022
NPI 1245985407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1710 MAYFIELD DR, Jonesboro, AR 72401

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 04D2265067

Mayfield Ambulatory Surgery Center · Jonesboro, AR
Active · expires Jul 21, 2028
CLIA Number04D2265067
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorMs. Elizabeth Waddell
Laboratory Phone(501) 766-1065
Laboratory LocationMayfield Ambulatory Surgery Center1710 Mayfield Drive, Jonesboro, AR 72401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Durable Medical Equipment & Medical Supplies
1710 MAYFIELD DR
JONESBORO, AR 72401
Nurse Practitioner
1710 MAYFIELD DR
JONESBORO, AR 72401
Nurse Practitioner (Family)
1710 MAYFIELD DR
JONESBORO, AR 72401
Clinic/Center (Ambulatory Surgical)
1710 MAYFIELD DR
JONESBORO, AR 72401
Physical Therapy Assistant
1710 MAYFIELD DR
JONESBORO, AR 72401
Nurse Practitioner (Family)
1710 MAYFIELD DR
JONESBORO, AR 72401

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 Mayfield Ambulatory Surgery Center, LLC's NPI number?

The NPI number for Mayfield Ambulatory Surgery Center, LLC is 1245985407. It was assigned to this organization in the NPPES registry on February 16, 2022.

Where is Mayfield Ambulatory Surgery Center, LLC located?

Mayfield Ambulatory Surgery Center, LLC is located at 1710 Mayfield Dr, Jonesboro, AR 72401. The listed phone number is (844) 215-0731.

What is Mayfield Ambulatory Surgery Center, LLC's specialty?

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

Does Mayfield Ambulatory Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2265067) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mayfield Ambulatory Surgery Center, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Mayfield Ambulatory Surgery 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 Mayfield Ambulatory Surgery Center, LLC was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.