SURGICAL ASSOCIATES OF SOUTHEAST ARKANSAS
NPI 1962753574
Surgery in Pine Bluff, AR
About Surgical Associates Of Southeast Arkansas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SURGICAL ASSOCIATES OF SOUTHEAST ARKANSAS (NPI 1962753574) is a healthcare organization registered as a surgery in Pine Bluff, Arkansas and active in the NPI registry since September 2012. The organization lists Debra M Walker, Cbo Director Practice Management, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Surgical Associates Of Southeast Arkansas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
106Medicare enrollment records show 106 clinicians reassign Medicare billing to Surgical Associates Of Southeast Arkansas, which bills Medicare for the services they deliver. Of these, 36 practice at this address and 66 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 22
Nearest to this location (20)
See all 106Source: 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 Jefferson Hospital Assn, Inc.'s NPI number?
The NPI number for Jefferson Hospital Assn, Inc. is 1962753574. It was assigned to this organization in the NPPES registry on September 21, 2012. The provider is doing business as Surgical Associates Of Southeast Arkansas.
Where is Jefferson Hospital Assn, Inc. located?
Jefferson Hospital Assn, Inc. is located at 1609 W 40th Ave Suite 403, Pine Bluff, AR 71603. The listed phone number is (870) 541-5981.
What is Jefferson Hospital Assn, Inc.'s specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Jefferson Hospital Assn, Inc. enrolled in Medicare?
Yes. Jefferson Hospital Assn, Inc. is registered in the Medicare PECOS enrollment system.
When is Jefferson Hospital Assn, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jefferson Hospital Assn, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 106 clinicians in 22 Medicare specialties reassign their Medicare billing to Jefferson Hospital Assn, 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 (21), Family Practice (15) and Internal Medicine (11). Of these, 36 practice at this address and 66 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jefferson Hospital Assn, Inc. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jefferson Hospital Assn, 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 Jefferson Hospital Assn, Inc. was last updated on December 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Surgical Associates Of Southeast Arkansas · NPI 1962753574
Surgery organization in Pine Bluff, Arkansas. Organization record, active in the CMS NPPES registry since September 21, 2012.
## Identity
- **NPI:** 1962753574 (Entity type: Organization)
- **Enumerated:** September 21, 2012
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Legal business name:** Jefferson Hospital Assn, Inc.
- **Organization subpart:** No
- **Authorized official:** Debra Walker, CBO DIRECTOR PRACTICE MANAGEMENT
## Practice location
- **Address:** 1609 W 40TH AVE, SUITE 403, Pine Bluff, AR 71603-6319
- **Phone:** (870) 541-5981 · **Fax:** (870) 541-8769
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 106 clinicians in 22 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Family Practice (15), Internal Medicine (11); 36 practice at this address and 66 within 10 miles; [full list](https://npiprofile.com/npi/1962753574/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 17, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1962753574) · Data from the CMS NPPES public registry.