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JACKSON MADISON SURGERY CENTER LLC
NPI 1679214142
Clinic/Center - Ambulatory Surgical in Jackson, TN

Active since April 06, 2022
700 W FOREST AVE STE 100, JACKSON, TN 38301(901) 737-4665(901) 328-1355 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Madison Surgery Center Llc NPPES

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

JACKSON MADISON SURGERY CENTER LLC (NPI 1679214142) is a healthcare organization registered as an ambulatory surgical in Jackson, Tennessee and active in the NPI registry since April 2022. The organization lists Bobby Rouse, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1679214142
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameJACKSON MADISON SURGERY CENTER LLC
Location Address700 W FOREST AVE STE 100Jackson, TN 38301-3940
Mailing Address2020 Exeter RdGermantown, TN 38138-3945 · (901) 737-4665 · Fax (901) 328-1355
Phone(901) 737-4665
Fax(901) 328-1355
Organization SubpartNo
Authorized OfficialBobby RouseAssistant Secretary · (901) 507-6004
Enumeration DateApril 6, 2022
NPPES CertifiedApril 6, 2022
✔ NPI 1679214142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
700 W FOREST AVE STE 100, Jackson, TN 38301
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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 Jackson Madison Surgery Center LLC's NPI number?

The NPI number for Jackson Madison Surgery Center LLC is 1679214142. It was assigned to this organization in the NPPES registry on April 6, 2022.

Where is Jackson Madison Surgery Center LLC located?

Jackson Madison Surgery Center LLC is located at 700 W Forest Ave Ste 100, Jackson, TN 38301. The listed phone number is (901) 737-4665.

What is Jackson Madison Surgery Center LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jackson Madison Surgery Center LLC was last updated on April 6, 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.