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JONESBORO SURGERY CENTER, LLC
NPI 1457379364
Clinic/Center - Ambulatory Surgical in Jonesboro, AR

Active since July 18, 2006CLIA 04D2097013 · Waiver
623 E MATTHEWS AVE, SUITE C, JONESBORO, AR 72401(870) 934-8010 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1457379364
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameJONESBORO SURGERY CENTER, LLC
Location Address623 E MATTHEWS AVE, SUITE CJonesboro, AR 72401-3145
Mailing Address623 E Matthews Ave, Suite CJonesboro, AR 72401-3145
Phone(870) 934-8010
Organization SubpartNo
Authorized OfficialAngie CarltonAdministrator · (870) 932-2211
Enumeration DateJuly 18, 2006
Last NPPES UpdateJune 30, 2025
NPPES CertifiedJune 30, 2025
✔ NPI 1457379364 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 AR · AR3943
623 E MATTHEWS AVE, Jonesboro, AR 72401
Open in Google Maps ↗

Other Identifiers 3

Medicaid143775128AR
Other11048AR · Ar Blue Cross Blue Shield
Other490005365Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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 04D2097013

Jonesboro Surgery Center LLC · Jonesboro, AR
Active · expires Jun 4, 2027
CLIA Number04D2097013
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorJackie B. Wheeler
Laboratory Phone(870) 934-8010
Laboratory LocationJonesboro Surgery Center LLC623 East Matthews Suite C, Jonesboro, AR 72401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas 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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
495 services294 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
295 services203 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
64 services46 patients

Other Providers at the Same Location NPPES 10

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

JERRY TUCK YOUNG OD
Optometrist
623 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 932-2211
MS. CYNTHIA LOU CREWS CRNA
Nurse Anesthetist, Certified Registered
623 E MATTHEWS AVE, SUITE C
JONESBORO, AR 72401
Craighead County (870) 934-8010
RUSSELL LEE HARRAL III MD
Ophthalmology
623 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 932-2211
CREWS-PETERS ANESTHESIA, LLC
Nurse Anesthetist, Certified Registered
623 E MATTHEWS AVE, SUITE C
JONESBORO, AR 72401
Craighead County (870) 934-8010
VANESSA WALL O.D.
Optometrist
623 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 932-2211
MR. LAWRENCE CARLTON PETERS CRNA
Nurse Anesthetist, Certified Registered
623 E MATTHEWS AVE, SUITE C
JONESBORO, AR 72401
Craighead County (870) 934-8010
VISION CARE CENTER OF NORTHEAST ARKANSAS LLC
Ophthalmology
623 E MATTHEWS AVE
JONESBORO, AR 72401
Craighead County (870) 932-2211
JONESBORO SURGERY CENTER ANESTHESIA
Anesthesiology
623 E MATTHEWS AVE, SUITE C
JONESBORO, AR 72401
Craighead County (870) 934-8010

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.

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 from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 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 13 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.