JACKSON SURGERY CENTER, LLC
NPI 1336375930
Clinic/Center - Ambulatory Surgical in Montgomery, AL
NPI Status: Active since June 09, 2009
Contact Information
1725 PARK PL
MONTGOMERY, AL
ZIP 36106
Phone: (334) 293-8484
Fax: (334) 293-6880
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 01D1102832
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 07-23-2027
About JACKSON SURGERY CENTER, LLC
This page provides the complete NPI Profile along with additional information for Jackson Surgery Center, Llc, a provider established in Montgomery, Alabama operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1336375930 assigned on June 2009. The practitioner's primary taxonomy code is 261QA1903X with license number PENDING (AL). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Missy Sallas (Administrator)
- NPI
- 1336375930
- Provider Name
- JACKSON SURGERY CENTER, LLC
- Entity Type
- Organization
- Location Address
- 1725 PARK PL MONTGOMERY, AL 36106
- Location Phone
- (334) 293-8484
- Location Fax
- (334) 293-6880
- Mailing Address
- 1725 PARK PL MONTGOMERY, AL 36106
- Mailing Phone
- (334) 293-8484
- Mailing Fax
- (334) 293-6880
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-09-2009
- Last Update Date
- 02-14-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- PENDING
- License State
- AL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Standardized Statewide Silver EPO - EPO
- Blue Statewide Silver EPO - EPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Simple Chronic Care CKM - EPO
- Gold Classic Standard - EPO
- Gold Simple - EPO
- Silver Classic Standard - EPO
- Silver Simple - EPO
- Silver Simple Chronic Care CKM - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
Biopsy of large bowel using a flexible endoscope
Colorectal cancer screening; colonoscopy on individual at high risk
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
Diagnostic exam of large bowel using a flexible endoscope
Exploration of nasal sinus using an endoscope
Insertion of guide wire with dilation of esophagus using a flexible endoscope
Insertion of sacral nerve neurostimulator electrode array
Irrigation and suction of lung airways to obtain cells using an endoscope
Partial removal of collar bone at shoulder using an endoscope
Plastic repair of vagina and tissue separating vagina, rectum, and bladder
Release of tendon connecting biceps muscle and shoulder using an endoscope
Removal of nasal air passage under lining tissue
Removal of nasal sinus tissue using an endoscope
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
Removal of tissue from sphenoid sinus using an endoscope
Repair of shoulder rotator cuff using an endoscope
Repair of urethra and urinary opening
Replacement of knee joint, both sides of knee
Reshaping of nasal cartilage
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.
This service was performed 33 times for 31 patientsThis 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.
This service was performed 204 times for 196 patientsA 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.
This service was performed 234 times for 231 patientsColorectal 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.
This service was performed 41 times for 41 patientsColorectal 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.
This service was performed 12 times for 12 patientsThis 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.
This service was performed 24 times for 24 patientsExploration of the nasal sinus using an endoscope is a procedure where a thin, flexible tube with a light and camera attached is inserted into the nose. This allows the doctor to view and examine the sinuses in detail, aiding in the diagnosis and treatment of sinus issues.
This service was performed 38 times for 23 patientsThis is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
This service was performed 13 times for 13 patientsThe insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.
This service was performed 30 times for 12 patientsThis is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
This service was performed 12 times for 11 patientsThis 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.
This service was performed 30 times for 28 patientsThis 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.
This service was performed 21 times for 21 patientsThis 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.
This service was performed 13 times for 13 patientsThis 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.
This service was performed 71 times for 37 patientsThis 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.
This service was performed 61 times for 37 patientsThis 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.
This service was performed 28 times for 28 patientsThis 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.
This service was performed 47 times for 46 patientsThis 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.
This service was performed 255 times for 250 patientsThis is a procedure where a small camera (endoscope) is used to view and remove tissue from the sphenoid sinus, a space in the back of your nose. It helps to diagnose or treat conditions affecting this area. Minimal discomfort is expected.
This service was performed 38 times for 23 patientsThis 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.
This service was performed 31 times for 31 patientsThis 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.
This service was performed 15 times for 15 patientsA bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
This service was performed 14 times for 14 patientsReshaping 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.
This service was performed 20 times for 20 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 01D1102832
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- July 24, 2025
- Certificate Expiration Date
- July 23, 2027
- Laboratory Director
- DR. GILBERT CLINTON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jackson Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1336375930, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
MONTGOMERY, AL 36106
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336375930, enumerated as an "organization" on June 09, 2009.
The provider is located at 1725 PARK PL MONTGOMERY, AL 36106 and the phone number is (334) 293-8484.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama and Oscar. Please consult your insurance carrier or call the provider to verify.