Active NPI
Memphis Surgery Center LTD, LP
- Ambulatory Surgical Clinic/Center
- Memphis, TN
National Provider Identifier
1003871104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MEMPHIS SURGERY CENTER LTD, LP
- Practice address
- 1044 Cresthaven Rd
Memphis, TN 38119-3832 - Phone
- (901) 682-1516
- NPI assigned
- Apr 20, 2006
- 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
- Courtney Love
- Title
- Chief Administrative Officer
- Phone
- (901) 866-8105
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1044 Cresthaven Rd
Memphis, TN 38119-3832
Mailing address
1044 Cresthaven Rd
Memphis, TN 38119-3832
Other names 1
- MEMPHIS SURGERY CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071108000569 | TN | Part B Supplier - Ambulatory Surgical Center | 4587752514 | Practice locations: Memphis, TN |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Memphis Surgery Center
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 44D1087942 | Memphis Surgery Center, LTD , LP | Certificate of waiver | Aug 12, 2026 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Oxford, MS
- NPI 1043277874
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680566400000",
"number": "1003871104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 CRESTHAVEN RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 CRESTHAVEN RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193832",
"telephone_number": "901-682-1516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMPHIS SURGERY CENTER LTD, LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-20",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A",
"authorized_official_last_name": "LOVE",
"authorized_official_first_name": "COURTNEY",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "901-866-8105"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MEMPHIS SURGERY CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MEMPHIS SURGERY CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.