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HIGHLANDS SURGICAL SERVICES LLC
NPI 1639514250
Surgery in Scottsboro, AL

Active since May 09, 2013CLIA 01D2349053 · Waiver
380 WOODS COVE RD STE B, SCOTTSBORO, AL 35768(256) 259-0185(256) 259-0317 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 15, 2022, Apr 14, 2020 (2 updates tracked since 2020).

About Highlands Surgical Services Llc NPPES

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

HIGHLANDS SURGICAL SERVICES LLC (NPI 1639514250) is a healthcare organization registered as a surgery in Scottsboro, Alabama and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through August 13, 2028, maintains a secondary practice location in Scottsboro, and lists Karen Grider, Physician Services Director, as its authorized official.

NPPES Registry Identity

NPI1639514250
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameHIGHLANDS SURGICAL SERVICES LLC
Location Address380 WOODS COVE RD STE BScottsboro, AL 35768-2428
Mailing AddressPo Box 1050Scottsboro, AL 35768-1050 · (256) 259-0185 · Fax (256) 259-0317
Phone(256) 259-0185
Fax(256) 259-0317
Organization SubpartNo
Authorized OfficialKaren GriderPhysician Services Director · (256) 218-3856
Enumeration DateMay 9, 2013
Last NPPES UpdateFebruary 15, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
✔ NPI 1639514250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AL · MD32359
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.
380 WOODS COVE RD STE B, Scottsboro, AL 35768
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Secondary Practice Location 1

Location 1509 Burlington StScottsboro, AL 35768-4216 · Phone (256) 259-4817 · Fax (256) 259-2075

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Highlands Surgical Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Highlands Surgical Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Ashley Lusk, C.R.N.P.
Nurse Practitioner
NPI 1619555265
380 WOODS COVE RD
Scottsboro, AL 35768
(256) 259-4444
✔ PECOSSame address
Edward Knowles, M.D.
General Surgery
NPI 1114925815
911 S BROAD ST
Scottsboro, AL 35768
(256) 259-0185
✔ PECOS0.7 mi
Lawrence Herberholz, MD
General Surgery
NPI 1619977378
911 S BROAD ST
Scottsboro, AL 35768
(256) 259-0185
✔ PECOS✔ Accepts Medicare0.7 mi
Lindsey Stone, CRNP
Nurse Practitioner
NPI 1619680717
201 VETERANS DR STE 107
Scottsboro, AL 35768
(256) 776-7765
✔ PECOS✔ Accepts Medicare1.6 mi
Paul Avenel, MD
General Surgery
NPI 1972721850
705 E POPLAR AVE
Selmer, TN 38375
(731) 646-0200
✔ PECOS✔ Accepts Medicare148 mi

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 01D2349053

Highlands Surgical Services And Wound Care · Scottsboro, AL
Active · expires Aug 13, 2028
CLIA Number01D2349053
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2026
Certificate Expiration DateAugust 13, 2028
Laboratory DirectorJason Mcgaugh
Laboratory Phone(256) 259-0185
Laboratory LocationHighlands Surgical Services And Wound Care380 Woods Cove Road, 5th Floor, Scottsboro, AL 35768
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Highlands Surgical Services LLC's NPI number?

The NPI number for Highlands Surgical Services LLC is 1639514250. It was assigned to this organization in the NPPES registry on May 9, 2013.

Where is Highlands Surgical Services LLC located?

Highlands Surgical Services LLC is located at 380 Woods Cove Rd Ste B, Scottsboro, AL 35768. The listed phone number is (256) 259-0185.

What is Highlands Surgical Services LLC's specialty?

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

Is Highlands Surgical Services LLC enrolled in Medicare?

Yes. Highlands Surgical Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Highlands Surgical Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Highlands Surgical Services 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 General Surgery (3) and Nurse Practitioner (2). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Highlands Surgical Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2349053) is associated with this NPI, valid through August 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Highlands Surgical Services LLC was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.