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JEFFERSON SURGERY CENTER PLLC
NPI 1710934542
Clinic/Center - Ambulatory Surgical in Pine Bluff, AR

Active since May 27, 2006
1609 W 40TH AVE, JRMC PROFESSIONAL CENTER, SUITE 103, PINE BLUFF, AR 71603(870) 541-3636(870) 541-3639 Get Directions Write a Review

NPPES record last updated: August 26, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jefferson Surgery Center Pllc NPPES

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

JEFFERSON SURGERY CENTER PLLC (NPI 1710934542), doing business as Jha Ambulatory Surgery Center, Llc, is a healthcare organization registered as an ambulatory surgical in Pine Bluff, Arkansas and active in the NPI registry since May 2006. The organization lists Crystal R Bohannan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1710934542
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameJEFFERSON SURGERY CENTER PLLC
Location Address1609 W 40TH AVE, JRMC PROFESSIONAL CENTER, SUITE 103Pine Bluff, AR 71603-6329
Mailing Address1609 W 40th Ave, Jrmc Professional Center, Suite 103Pine Bluff, AR 71603-6329 · (870) 541-3636 · Fax (870) 541-3639
Phone(870) 541-3636
Fax(870) 541-3639
Organization SubpartNo
Authorized OfficialCrystal R BohannanAdministrator · (870) 541-3640
Enumeration DateMay 27, 2006
Last NPPES UpdateAugust 26, 2008
✔ NPI 1710934542 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 · AR3637
1609 W 40TH AVE, Pine Bluff, AR 71603
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Other Names 1

Former Legal Business NameJha Ambulatory Surgery Center, Llc

Other Identifiers 2

Medicare ID-Type Unspecified04C1038AR
Medicaid135346128AR

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 ›

Other Providers at the Same Location NPPES 20

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

DAVID J SILAS MD
Psychiatry & Neurology (Neurology)
1609 W 40TH AVE, SUITE 401
PINE BLUFF, AR 71603
Jefferson County (870) 534-5100
DR. CHARLES A CLARK MD
Orthopaedic Surgery
1609 W 40TH AVE, STE 501
PINE BLUFF, AR 71603
Jefferson County (870) 534-3449
O T GORDON JR. M.D.
Internal Medicine (Gastroenterology)
1609 W 40TH AVE, SUITE 312
PINE BLUFF, AR 71603
Jefferson County (870) 534-3344
VALERIE LYNNE BERRY M.D.
Specialist
1609 W 40TH AVE, SUITE 312
PINE BLUFF, AR 71603
Jefferson County (870) 534-3344
MRS. DEBRA DOUBLET CLARK PA-C
Physician Assistant
1609 W 40TH AVE, SUITE 501
PINE BLUFF, AR 71603
Jefferson County (870) 534-3449
GASTROENTEROLOGY ASSOCIATES OF SOUTHEAST ARKANSAS, P.A.
Clinic/Center (Medical Specialty)
1609 W 40TH AVE, SUITE 312
PINE BLUFF, AR 71603
Jefferson County (870) 534-3344
JEFFERSON HOSPITAL ASSOCIATION, INC.
Health Maintenance Organization
1609 W 40TH AVE, SUITE 207
PINE BLUFF, AR 71603
Jefferson County (870) 534-2348
SOUTH ARKANSAS SURGICAL ASSOCIATES
Specialist
1609 W 40TH AVE, SUITE 403
PINE BLUFF, AR 71603
Jefferson County (870) 534-4188

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 Jefferson Surgery Center PLLC's NPI number?

The NPI number for Jefferson Surgery Center PLLC is 1710934542. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Jefferson Surgery Center PLLC located?

Jefferson Surgery Center PLLC is located at 1609 W 40th Ave Jrmc Professional Center, Suite 103, Pine Bluff, AR 71603. The listed phone number is (870) 541-3636.

What is Jefferson Surgery Center PLLC's specialty?

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

What insurance does Jefferson Surgery Center PLLC 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 2 other insurers list Jefferson Surgery Center PLLC 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 Jefferson Surgery Center PLLC was last updated on August 26, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.