BIENVILLE SURGERY CENTER, LLC
NPI 1417405812
Clinic/Center - Ambulatory Surgical in Vancleave, MS

Active since September 14, 2016CLIA 25D2122109 · Waiver
6300 EAST LAKE BLVD., SUITE 102, VANCLEAVE, MS 39565(228) 447-4630(228) 206-2108 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2024, Sep 7, 2023, Aug 22, 2022 and 2 more (5 updates tracked since 2016).

About Bienville Surgery Center, Llc NPPES

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

BIENVILLE SURGERY CENTER, LLC (NPI 1417405812) is a healthcare organization registered as an ambulatory surgical in Vancleave, Mississippi and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through November 20, 2026 and lists Lee Bond, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417405812
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBIENVILLE SURGERY CENTER, LLC
Location Address6300 EAST LAKE BLVD., SUITE 102Vancleave, MS 39565-6771
Mailing Address6300 East Lake Blvd., Suite 301Vancleave, MS 39565-6771 · (228) 230-2663 · Fax (228) 206-6398
Fax(228) 206-2108
Organization SubpartNo
Authorized OfficialLee BondCeo · (228) 230-2663
Enumeration DateSeptember 14, 2016
Last NPPES UpdateAugust 15, 20245 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
NPI 1417405812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6300 EAST LAKE BLVD., Vancleave, MS 39565

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 25D2122109

Bienville Surgery Center LLC · Vancleave, MS
Active · expires Nov 20, 2026
CLIA Number25D2122109
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorTally D. Mayfield
Laboratory Phone(228) 447-4654
Laboratory LocationBienville Surgery Center LLC6300A East Lake Blvd, Ste 102, Vancleave, MS 39565
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 23

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.

Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
600 services470 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.
296 services99 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.
174 services105 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
159 services133 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.
145 services116 patients
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.
133 services83 patients

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
6300 EAST LAKE BLVD., SUITE 201
VANCLEAVE, MS 39565
Occupational Therapist
6300 EAST LAKE BLVD., SUITE 201
VANCLEAVE, MS 39565
Orthopaedic Surgery
6300 EAST LAKE BLVD., SUITE 201
VANCLEAVE, MS 39565

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 Bienville Surgery Center, LLC's NPI number?

The NPI number for Bienville Surgery Center, LLC is 1417405812. It was assigned to this organization in the NPPES registry on September 14, 2016.

Where is Bienville Surgery Center, LLC located?

Bienville Surgery Center, LLC is located at 6300 East Lake Blvd. Suite 102, Vancleave, MS 39565. The listed phone number is (228) 447-4630.

What is Bienville Surgery Center, LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 25D2122109) is associated with this NPI, valid through November 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bienville 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 and 3 other insurers list Bienville 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 Bienville Surgery Center, LLC was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.