Active NPI
Five Points Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Greenfield, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- FIVE POINTS SURGERY CENTER LLC
- Practice address
- 6374 West Huger L. Phelps Trail
Greenfield, IN 46140 - Phone
- (337) 356-7044
- NPI assigned
- Jul 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Virginia Jones
- Title
- Ceo
- Phone
- (910) 485-7070
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | |||
| Pediatric Dentistry | 1223P0221X | |||
| Anesthesiology Physician | 207L00000X | |||
| Surgery Physician | 208600000X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary | ||
| Dental Clinic/Center | 261QD0000X | |||
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X |
Addresses
Primary practice location
6374 West Huger L. Phelps Trail
Greenfield, IN 46140
Mailing address
2028 Litho PL
Fayetteville, NC 28304-2537
Phone (337) 356-7044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250910001650 | IN | Part B Supplier - Ambulatory Surgical Center | 5193228823 | Practice locations: Greenfield, IN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1003644436. Details of each certification follow.
Ambulatory surgical center certification: CCN 15C0002023
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- FIVE POINTS SURGERY CENTER LLC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Nov 13, 2025
- Last certification
- Oct 10, 2025
- Facility address
- 6374 W Huger L Phelps Trail
Greenfield, IN 46140
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2322627 | Five Points Surgery Center | Certificate of waiver | Apr 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
6374 W Huger L Phelps Trl
Greenfield, IN 46140
Phone (337) 356-7044
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Dentistry
- Indianapolis, IN
- NPI 1306259023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1003644436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 LITHO PL",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042537",
"telephone_number": "337-356-7044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6374 WEST HUGER L. PHELPS TRAIL",
"city": "GREENFIELD",
"state": "IN",
"postal_code": "46140",
"telephone_number": "337-356-7044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE POINTS SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-25",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "910-485-7070"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QS0112X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.