Surgical Specialists Group, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICAL SPECIALISTS GROUP, LLC

Practice address

1323 Summit Drive
Jasper, AL 35501-0114

Phone

(205) 221-1324

Fax

(205) 221-1325

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gary Ellis

Title

Administrator

Phone

(205) 221-1324

Specialties & licenses 1

Addresses

Other names 1

• Alabama Outpatient Surgery Center Doing business as

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence Vernon Baker

  • Surgery Physician
  • Jasper, AL
  • NPI 1053492835
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1043367196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 SUMMIT DRIVE",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355010114",
            "telephone_number": "205-221-1324",
            "fax_number": "205-221-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 SUMMIT DRIVE",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355010114",
            "telephone_number": "205-221-1324",
            "fax_number": "205-221-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-221-1324",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alabama Outpatient Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Sullivan, CRNP, DNP
• Cynthia Summerville, MS
• Summit Sleep Disorders Center, LLC
• Sunshine Clinic
• Sunshine Clinic
• Melissa Sue Sutton, MA LPC
• Kimberly Christian Swaisland
• Paula J Sweet, CRNP
• Eric Alexander Swinford, CRNA
• Yu-Yong Tai, M.D.

• Ambulatory Surgical Clinic/Center in Jasper, AL
• Providers in Jasper, AL by specialty
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.