JACKSON SURGERY CENTER, LLC
NPI 1336375930
Clinic/Center - Ambulatory Surgical in Montgomery, AL

Q: What is Jackson Surgery Center, LLC's NPI number?

The NPI number for Jackson Surgery Center, LLC is 1336375930. It was assigned to this organization in the NPPES registry on June 9, 2009.

Q: What is Jackson 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 June 09, 2009CLIA 01D1102832 · Waiver

1725 PARK PL, MONTGOMERY, AL 36106(334) 293-8484(334) 293-6880 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 14, 2022, Oct 18, 2016 (2 updates tracked since 2016).

On this page

About Jackson Surgery Center, Llc NPPES

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

JACKSON SURGERY CENTER, LLC (NPI 1336375930) is a healthcare organization registered as an ambulatory surgical in Montgomery, Alabama and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Missy Sallas, Administrator, as its authorized official.

NPPES Registry Identity

NPI1336375930

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameJACKSON SURGERY CENTER, LLC

Location Address1725 PARK PLMontgomery, AL 36106-1138

Mailing Address1725 Park PlMontgomery, AL 36106-1138 · (334) 293-8484 · Fax (334) 293-6880

Phone(334) 293-8484

Fax(334) 293-6880

Organization SubpartNo

Authorized OfficialMissy SallasAdministrator · (334) 293-3920

Enumeration DateJune 9, 2009

Last NPPES UpdateFebruary 14, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2022

✔ NPI 1336375930 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 AL · PENDING

1725 PARK PL, Montgomery, AL 36106

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company.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 01D1102832

Jackson Surgery Center LLC · Montgomery, AL

Active · expires Jul 23, 2027

CLIA Number01D1102832

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJuly 24, 2025

Certificate Expiration DateJuly 23, 2027

Laboratory DirectorDr. Gilbert Clinton

Laboratory Phone(334) 293-8484

Laboratory LocationJackson Surgery Center LLC1725 Park Place, Montgomery, AL 36106

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 20

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

299 services292 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

241 services230 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

218 services214 patients

Removal of nasal air passage under lining tissue 30140

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

53 services27 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

45 services43 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

42 services41 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

36 services36 patients

Removal of nasal sinus tissue using an endoscope 31267

This procedure, known as endoscopic sinus surgery, involves using a thin, flexible tube with a light and camera to view and remove problematic nasal sinus tissue. It helps to alleviate sinus issues and improve breathing.

35 services21 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

29 services29 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

26 services26 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

26 services26 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

23 services22 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

22 services22 patients

Correction of toe joint deformity 28285

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

19 services11 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope 29828

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

17 services17 patients

Reshaping of nasal cartilage 30520

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

14 services14 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

14 services14 patients

Plastic repair of vagina and tissue separating vagina, rectum, and bladder 57260

This procedure involves the surgical restoration of the body's lower passage and the tissue that separates it from the waste and urine disposal systems. It's done to improve comfort and function due to conditions like injury or aging.

14 services14 patients

Repair of urethra and urinary opening 53450

This procedure involves fixing the tube that allows your body to remove liquid waste. It also corrects the exit point for this liquid. It's done to improve your body's waste removal process and enhance comfort.

12 services12 patients

Exam of bladder and urethra for treatment of female urethral syndrome using an endoscope 52285

This procedure involves a special tool called an endoscope to visually inspect your bladder and the tube that carries urine out of your body. It's performed to help diagnose and treat discomfort related to urinary issues.

11 services11 patients

Leave this field empty

Other Providers at the Same Location NPPES

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

JACKSON HOSPITAL AND CLINIC, INC.

Surgery (Vascular Surgery)

1725 PARK PL, SUITE 300-A
MONTGOMERY, AL 36106

Montgomery County (334) 293-8000

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 Jackson Surgery Center, LLC's NPI number?

The NPI number for Jackson Surgery Center, LLC is 1336375930. It was assigned to this organization in the NPPES registry on June 9, 2009.

Where is Jackson Surgery Center, LLC located?

Jackson Surgery Center, LLC is located at 1725 Park Pl, Montgomery, AL 36106. The listed phone number is (334) 293-8484.

What is Jackson Surgery Center, LLC's specialty?

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

Does Jackson Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1102832) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jackson Surgery Center, LLC accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Jackson 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 Jackson Surgery Center, LLC was last updated on February 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

About Jackson Surgery Center, Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 01D1102832

Areas of Expertise CMS Part B claims 20

Other Providers at the Same Location NPPES

Frequently Asked Questions NPPES & CMS

What is Jackson Surgery Center, LLC's NPI number?

Where is Jackson Surgery Center, LLC located?

What is Jackson Surgery Center, LLC's specialty?

Does Jackson Surgery Center, LLC hold a CLIA laboratory certificate?

What insurance does Jackson Surgery Center, LLC accept?

When was this NPI record last updated?

Certificate of Waiver 01D1102832