SURGERY CENTER OF COLUMBIA
NPI 1790717825
Surgery in Columbia, TN

NPI Status: Active since July 07, 2006

Contact Information

725 SOUTH JAMES CAMPBELL BLVD
COLUMBIA, TN
ZIP 38401
Phone: (931) 381-3700
Fax: (931) 381-9093

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  • Organization
  • Surgery
  • CLIA Number: 44D0974284
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 06-01-2026

About SURGERY CENTER OF COLUMBIA

This page provides the complete NPI Profile along with additional information for Surgery Center Of Columbia, a provider established in Columbia, Tennessee operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1790717825 assigned on July 2006. The practitioner's primary taxonomy code is 208600000X with license number 0000000033 (TN). The provider is registered as an organization and their NPI record was last updated 6 years ago. Surgery Center Of Columbia operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Surgery Center Of Columbia. The authorized official of this NPI record is Mr. Keith A Bolton (Administrator Ceo)

NPI
1790717825
Provider Legal Name
SSCA SURGICAL ASSOCIATES OF COLUMBIA
Other Organization Name
SURGERY CENTER OF COLUMBIA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
725 SOUTH JAMES CAMPBELL BLVD COLUMBIA, TN 38401
Location Phone
(931) 381-3700
Location Fax
(931) 381-9093
Mailing Address
PO BOX 1285 725 SOUTH JAMES CAMPBELL BLVD COLUMBIA, TN 38401
Mailing Phone
(931) 381-3700
Mailing Fax
(931) 381-9093
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2006
Last Update Date
08-22-2020
Code Navigator

A surgeon like Surgery Center Of Columbia treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
0000000033
License State
TN
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KEITH A BOLTON

Authorized Official Title
ADMINISTRATOR CEO
Authorized Official Phone
(931) 381-3700

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3287168MEDICAID (05)TN 
1000992OTHER (01)BLUE CROSS

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D0974284
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
June 02, 2024
Certificate Expiration Date
June 01, 2026
Laboratory Director
JEFFREY T. ADAMS MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Surgery Center Of Columbia to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790717825, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 1 + 4 + 1 + 1 + 4 + 8 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1790717825.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790717825, enumerated as an "organization" on July 07, 2006.

The provider is located at 725 SOUTH JAMES CAMPBELL BLVD COLUMBIA, TN 38401 and the phone number is (931) 381-3700.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.