THE SURGERY CENTER AT CEDAR LAKE
NPI 1295820249
Clinic/Center - Ambulatory Surgical in Biloxi, MS

Active since October 04, 2006
1720 MEDICAL PARK DR # B, BILOXI, MS 39532(228) 702-2000(228) 702-2019 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 20, 2017, Jul 14, 2016 (2 updates tracked since 2016).

About The Surgery Center At Cedar Lake NPPES

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

THE SURGERY CENTER AT CEDAR LAKE (NPI 1295820249) is a healthcare organization registered as an ambulatory surgical in Biloxi, Mississippi and active in the NPI registry since October 2006. The organization lists Charles J Wilson, Owner And Director, as its authorized official.

NPPES Registry Identity

NPI1295820249
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNEW CEDAR LAKE SURGERY CENTER, LLC
Location Address1720 MEDICAL PARK DR # BBiloxi, MS 39532-2131
Mailing Address1720 Medical Park Dr # BBiloxi, MS 39532-2131 · (228) 702-2000 · Fax (228) 314-2589
Fax(228) 702-2019
Organization SubpartNo
Authorized OfficialCharles J WilsonOwner And Director · (228) 702-2000
Enumeration DateOctober 4, 2006
Last NPPES UpdateFebruary 20, 20172 updates tracked since enumeration
NPI 1295820249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in MS · 004
1720 MEDICAL PARK DR # B, Biloxi, MS 39532

Other Names 1

Doing Business AsThe Surgery Center At Cedar Lake

Other Identifiers 2

Medicaid00770025MS
Medicare PIN490251003MS

Accepted Insurance

Other Providers at the Same Location NPPES

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

Nurse Anesthetist, Certified Registered
1720 MEDICAL PARK DR # B
BILOXI, MS 39532

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 New Cedar Lake Surgery Center, LLC's NPI number?

The NPI number for New Cedar Lake Surgery Center, LLC is 1295820249. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as The Surgery Center At Cedar Lake.

Where is New Cedar Lake Surgery Center, LLC located?

New Cedar Lake Surgery Center, LLC is located at 1720 Medical Park Dr # B, Biloxi, MS 39532. The listed phone number is (228) 702-2000.

What is New Cedar Lake Surgery Center, LLC's specialty?

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

What insurance does New Cedar Lake Surgery Center, LLC 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 list New Cedar Lake 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 New Cedar Lake Surgery Center, LLC was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.