CLARKSVILLE SURGERY CENTER LLC
NPI 1487693123
Clinic/Center - Ambulatory Surgical in Clarksville, TN

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

The NPI number for Clarksville Surgery Center LLC is 1487693123. It was assigned to this organization in the NPPES registry on June 6, 2006.

Q: What is Clarksville 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 06, 2006CLIA 44D0960611 · Waiver

793 WEATHERLY DR, CLARKSVILLE, TN 37043(931) 542-2915(931) 648-1816 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2026, Nov 8, 2024, Aug 12, 2022 and 1 more (4 updates tracked since 2018).

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About Clarksville Surgery Center Llc NPPES

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

CLARKSVILLE SURGERY CENTER LLC (NPI 1487693123) is a healthcare organization registered as an ambulatory surgical in Clarksville, Tennessee and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Scott Montgomery, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1487693123

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameCLARKSVILLE SURGERY CENTER LLC

Location Address793 WEATHERLY DRClarksville, TN 37043-8942

Mailing Address793 Weatherly DrClarksville, TN 37043-8942 · (931) 542-2915 · Fax (931) 648-1816

Phone(931) 542-2915

Fax(931) 648-1816

Organization SubpartNo

Authorized OfficialScott MontgomeryAuthorized Official · (931) 645-1373

Enumeration DateJune 6, 2006

Last NPPES UpdateJanuary 6, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2026

✔ NPI 1487693123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in TN · 0000000095

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License 0000000095 (TN)

793 WEATHERLY DR, Clarksville, TN 37043

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Other Identifiers 2

Other3119020TN · Blue Cross

Medicaid3119020TN

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 Magnolia Health 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 44D0960611

Clarksville Surgery Center · Clarksville, TN

Active · expires May 13, 2027

CLIA Number44D0960611

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 14, 2025

Certificate Expiration DateMay 13, 2027

Laboratory DirectorKeith Starkweather

Laboratory Phone(931) 645-1373

Laboratory LocationClarksville Surgery Center793 Weatherly Drive, Clarksville, TN 37043

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 15

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.

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

234 services119 patients

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.

173 services101 patients

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg J1096

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.

150 services28 patients

Repair of brow paralysis 67900

Repair of brow paralysis is a procedure aimed to restore function and symmetry to the face. This is achieved by adjusting muscles and nerves in the brow area. It can help improve the appearance and movement of the forehead and eyebrows, enhancing overall facial expressions.

113 services57 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

72 services37 patients

Extensive repair of turning-outward eyelid defect 67917

This procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.

47 services27 patients

Probing of nasal tear duct with insertion of tube or stent 68815

This procedure treats blocked tear ducts. A thin probe is gently inserted into the tear duct to clear any blockage. Afterwards, a small tube or stent is placed to keep the pathway open, allowing tears to drain normally again.

42 services29 patients

Plastic repair of tear duct 68700

Plastic repair of the tear duct, also known as dacryocystorhinostomy, is a surgical procedure to create a new pathway for tears to drain from the eye when the natural tear duct is blocked. This helps to reduce symptoms like excessive tearing and infection.

36 services23 patients

Removal of growth of eyelid 67840

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.

26 services20 patients

Removal of up to 1/4 of eyelid margin and repair of eyelid 67961

This procedure involves the careful removal of up to a quarter of the eyelid margin. It's often done to treat certain eye conditions or injuries. After removal, the eyelid is expertly repaired to restore its function and appearance.

24 services15 patients

Repair of eyelid lining with graft from external eye 68320

This procedure involves fixing the inner lining of your eyelid. A graft, or a piece of tissue, from the external part of your eye is used for repair. It helps restore normal eyelid function and appearance.

24 services15 patients

Removal of over 1/4 of eyelid margin and repair of eyelid 67966

This procedure involves the removal of more than a quarter of the eyelid margin due to conditions like tumors, infections, or injuries. The remaining part is then repaired to restore normal function and appearance. It's a safe procedure done under local anesthesia.

20 services16 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

20 services18 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.

16 services13 patients

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.

11 services11 patients

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 Clarksville Surgery Center LLC's NPI number?

The NPI number for Clarksville Surgery Center LLC is 1487693123. It was assigned to this organization in the NPPES registry on June 6, 2006.

Where is Clarksville Surgery Center LLC located?

Clarksville Surgery Center LLC is located at 793 Weatherly Dr, Clarksville, TN 37043. The listed phone number is (931) 542-2915.

What is Clarksville Surgery Center LLC's specialty?

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

Does Clarksville Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0960611) is associated with this NPI, valid through May 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clarksville Surgery Center LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Clarksville 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 Clarksville Surgery Center LLC was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.