JONESBORO AMBULATORY SURGERY CENTER, LLC
NPI 1285283432
Clinic/Center - Ambulatory Surgical in Jonesboro, AR

Q: What is Jonesboro Ambulatory Surgery Center, LLC's specialty?

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

Active since September 10, 2019CLIA 04D2173434 · Waiver

1710 MAYFIELD DR, JONESBORO, AR 72401(501) 554-1273 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2020, Sep 10, 2019 (2 updates tracked since 2019).

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About Jonesboro Ambulatory Surgery Center, Llc NPPES

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

JONESBORO AMBULATORY SURGERY CENTER, LLC (NPI 1285283432) is a healthcare organization registered as an ambulatory surgical in Jonesboro, Arkansas and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Kelli Young, Administrator, as its authorized official.

NPPES Registry Identity

NPI1285283432

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameJONESBORO AMBULATORY SURGERY CENTER, LLC

Location Address1710 MAYFIELD DRJonesboro, AR 72401

Mailing Address108 N Shackleford RdLittle Rock, AR 72211-2840

Phone(501) 554-1273

Organization SubpartNo

Authorized OfficialKelli YoungAdministrator · (501) 554-1273

Enumeration DateSeptember 10, 2019

Last NPPES UpdateJanuary 27, 20202 updates tracked since enumeration

✔ NPI 1285283432 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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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 04D2173434

Jonesboro Ambulatory Surgery Center · Jonesboro, AR

Active · expires Oct 13, 2027

CLIA Number04D2173434

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 14, 2025

Certificate Expiration DateOctober 13, 2027

Laboratory DirectorMs. Beth L. Waddell

Laboratory Phone(504) 554-1273

Laboratory LocationJonesboro Ambulatory Surgery Center1710 Mayfield Dr, Jonesboro, AR 72401

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

163 services70 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

134 services40 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

111 services50 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

73 services19 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

39 services19 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

31 services15 patients

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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.

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