JONESBORO SURGERY CENTER, LLC
NPI 1457379364
Clinic/Center - Ambulatory Surgical in Jonesboro, AR
About Jonesboro Surgery Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONESBORO SURGERY CENTER, LLC (NPI 1457379364) is a healthcare organization registered as an ambulatory surgical in Jonesboro, Arkansas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Angie Carlton, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jonesboro Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Jonesboro Surgery Center, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 04D2097013
Jonesboro Surgery Center LLC · Jonesboro, ARAreas of Expertise CMS Part B claims 3
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.
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 Jonesboro Surgery Center, LLC's NPI number?
The NPI number for Jonesboro Surgery Center, LLC is 1457379364. It was assigned to this organization in the NPPES registry on July 18, 2006.
Where is Jonesboro Surgery Center, LLC located?
Jonesboro Surgery Center, LLC is located at 623 E Matthews Ave Suite C, Jonesboro, AR 72401. The listed phone number is (870) 934-8010.
What is Jonesboro Surgery Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Jonesboro Surgery Center, LLC enrolled in Medicare?
Yes. Jonesboro Surgery Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jonesboro Surgery Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Jonesboro Surgery Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (3) and Certified Registered Nurse Anesthetist (CRNA) (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jonesboro Surgery Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2097013) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Jonesboro Surgery Center, LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jonesboro 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 Jonesboro Surgery Center, LLC was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jonesboro Surgery Center, Llc · NPI 1457379364
Ambulatory Surgical organization in Jonesboro, Arkansas. Organization record, active in the CMS NPPES registry since July 18, 2006.
## Identity
- **NPI:** 1457379364 (Entity type: Organization)
- **Enumerated:** July 18, 2006
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Angie Carlton, ADMINISTRATOR
## Practice location
- **Address:** 623 E MATTHEWS AVE, SUITE C, Jonesboro, AR 72401-3145
- **Phone:** (870) 934-8010
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (3), Certified Registered Nurse Anesthetist (CRNA) (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2025
- **Other identifiers:** Medicaid 143775128 (AR); Other 11048 (AR); Other 490005365
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457379364) · Data from the CMS NPPES public registry.