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MANCHESTER SURGERY CENTER
NPI 1629298716
Surgery in Manchester, KY

Active since April 30, 2007
120 MARIE LANGDON DR, MANCHESTER, KY 40962(606) 598-5104(606) 598-6507 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Manchester Surgery Center NPPES

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

MANCHESTER SURGERY CENTER (NPI 1629298716) is a healthcare organization registered as a surgery in Manchester, Kentucky and active in the NPI registry since April 2007. The organization lists Benny Nolen, Vice President, as its authorized official.

NPPES Registry Identity

NPI1629298716
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMEMORIAL HOSPITAL, INC.
Location Address120 MARIE LANGDON DRManchester, KY 40962-6352
Mailing Address509 Memorial DrManchester, KY 40962-6195 · (606) 598-5104 · Fax (606) 598-6507
Phone(606) 598-5104
Fax(606) 598-6507
Organization SubpartNo
Authorized OfficialBenny NolenVice President · (606) 598-5104
Enumeration DateApril 30, 2007
Last NPPES UpdateJanuary 13, 2021
NPPES CertifiedJanuary 13, 2021
✔ NPI 1629298716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
120 MARIE LANGDON DR, Manchester, KY 40962
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Other Names 1

Doing Business AsManchester Surgery Center

Other Identifiers 2

Medicaid65934523KY
OtherCC2941Rr Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

Manchester Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

123

Medicare enrollment records show 123 clinicians reassign Medicare billing to Manchester Surgery Center, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Nurse Practitioner59
Internal Medicine10
Certified Registered Nurse Anesthetist (CRNA)8
Emergency Medicine5
General Surgery5
Diagnostic Radiology4
Family Practice4
Pediatric Medicine4
16 other specialties24

Nearest to this location (20)

See all 123
Ashlei Beverly, APRN
Nurse Practitioner
NPI 1215306600
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts MedicareSame address
Anita Cornett, MD
Internal Medicine
NPI 1770553463
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts MedicareSame address
Aaron Napier, FNP-C
Nurse Practitioner
NPI 1649926866
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts MedicareSame address
Kobkit Putrakul, MD
Emergency Medicine
NPI 1699951558
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOSSame address
Anthony Young, APRN, FNP-C
Nurse Practitioner
NPI 1265104194
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 813-1772
✔ PECOS✔ Accepts MedicareSame address
Zachary Mcgeorge, MSW
Clinical Social Worker
NPI 1811413487
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOS✔ Accepts MedicareSame address
Suvas Desai, MD
Urology
NPI 1144216318
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOSSame address
Tammie Hacker, APRN, FNP-C
Nurse Practitioner
NPI 1922541598
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOS✔ Accepts MedicareSame address
Ashtin Nix, M.D.
Pediatric Medicine
NPI 1780065391
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOSSame address
Jayme Norman, APRN
Nurse Practitioner
NPI 1972858306
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOSSame address
Karla Sizemore
Nurse Practitioner
NPI 1659809473
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOS✔ Accepts MedicareSame address
Khercie Smith, MD
Pediatric Medicine
NPI 1629563747
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOSSame address
Sherri Smith, APRN
Nurse Practitioner
NPI 1568919728
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOSSame address
Suzann Smith, APRN
Nurse Practitioner
NPI 1811220171
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOS✔ Accepts MedicareSame address
Keshia Wagers, PH.D.
Clinical Psychologist
NPI 1104496504
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-4539
✔ PECOSSame address
Giriraj Gupta, M.D.
Orthopedic Surgery
NPI 1194916213
120 MARIE LANGDON DR SUITE 1
Manchester, KY 40962
(606) 598-4529
✔ PECOS✔ Accepts MedicareSame address
Donna Sandlin, APRN
Nurse Practitioner
NPI 1033159223
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts MedicareSame address
Kevin Mclendon, DO
Emergency Medicine
NPI 1720510837
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-6800
✔ PECOSSame address
Angela Rice, DO
Osteopathic Manipulative Medicine
NPI 1134231822
94 MARIE LANGDON DR STE 2
Manchester, KY 40962
(606) 599-9955
✔ PECOS✔ Accepts MedicareSame address
Michael Brashear, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205086097
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts MedicareSame address
See all 123 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Memorial Hospital, Inc.'s NPI number?

The NPI number for Memorial Hospital, Inc. is 1629298716. It was assigned to this organization in the NPPES registry on April 30, 2007. The provider is doing business as Manchester Surgery Center.

Where is Memorial Hospital, Inc. located?

Memorial Hospital, Inc. is located at 120 Marie Langdon Dr, Manchester, KY 40962. The listed phone number is (606) 598-5104.

What is Memorial Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Memorial Hospital, Inc. enrolled in Medicare?

Yes. Memorial Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Memorial Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 123 clinicians in 24 Medicare specialties reassign their Medicare billing to Memorial Hospital, Inc.. 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 Nurse Practitioner (59), Internal Medicine (10) and Certified Registered Nurse Anesthetist (CRNA) (8). Of these, 21 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Memorial Hospital, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Memorial Hospital, Inc. 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 Memorial Hospital, Inc. was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.