Organization Active NPI

Surgery Center of Oak Ridge, LLC

Doing business as Advanced Family Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Oak Ridge, TN
National Provider Identifier
1033105960
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0000000125 Issued in TN
Legal business name
SURGERY CENTER OF OAK RIDGE, LLC
Doing business as
Advanced Family Surgery Center
Practice address
944 Oak Ridge Tpke
Suite 200
Oak Ridge, TN 37830-6959
Phone
(865) 835-5000
Fax
(865) 835-5005
NPI assigned
Sep 26, 2005
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sonya Swint
Title
Business Office Manager
Phone
(865) 865-5014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0000000125 TN Primary

Addresses

Primary practice location

944 Oak Ridge Tpke
Suite 200
Oak Ridge, TN 37830-6959

Mailing address

944 Oak Ridge Tpke
Suite 200
Oak Ridge, TN 37830-6959
Phone (865) 865-5001

Other identifiers 7

IdentifierTypeStateIssuer
0140258707OtherTNCIGNA
080037499OtherTNEEOICP
3148496OtherTNBLUECROSS BLUESHIELD TN
00003022OtherTNNHC
3288148MedicaidTN
A3783000OtherTNJOHN DEERE
36001022OtherKSKENTUCKY MEDICAID

Other names 1

  • Advanced Family 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
O20111128000464 TN Part B Supplier - Ambulatory Surgical Center 6901070176 Practice locations: Oak Ridge, TN

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Advanced Family Surgery CenterCCN 44C0001098
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
44D0971335Advanced Family Surgery Center944 Oak Ridge Turnpike Suite 200, Oak Ridge, TN 37830Certificate of waiverMar 9, 2028

National Provider Directory

National Provider Directory

Locations

944 Oak Ridge Tpke
Ste 200
Oak Ridge, TN 37830
Phone (865) 835-5000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1033105960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 OAK RIDGE TPKE",
            "address_2": "SUITE 200",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306959",
            "telephone_number": "865-865-5001",
            "fax_number": "865-865-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 OAK RIDGE TPKE",
            "address_2": "SUITE 200",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306959",
            "telephone_number": "865-835-5000",
            "fax_number": "865-835-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF OAK RIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "SWINT",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "865-865-5014",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0140258707",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EEOICP",
            "identifier": "080037499",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD TN",
            "identifier": "3148496",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHC",
            "identifier": "00003022",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3288148",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "A3783000",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY MEDICAID",
            "identifier": "36001022",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Family Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.