Organization Active NPI

Memphis Surgery Center LTD, LP

  • Ambulatory Surgical Clinic/Center
  • Memphis, TN
National Provider Identifier
1003871104
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Apr 4, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CenterCCN 44C0001004
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1087942Memphis Surgery Center, LTD , LP1044 Cresthaven Road, Memphis, TN 38119Certificate of waiverAug 12, 2026

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.