Apollo Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

APOLLO SURGERY CENTER LLC

Practice address

6409 N Quail Hollow Rd
Memphis, TN 38120-1414

Phone

(901) 390-2930

Fax

(901) 390-2940

NPI assigned

Oct 8, 2024

Organization subpart

No

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

Authorized official

Name

Abby McDonald

Title

Operations Manager

Phone

(901) 390-2930

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Ambulatory surgical center certification: CCN 44C0001227

Legal name

Apollo Surgery Center LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jun 20, 2025

Last certification

Jun 18, 2025

Facility address

6409 N Quail Hollow Rd
Memphis, TN 38120

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Anton Surath Nisetus Dias Perera, MD

  • Vascular Surgery Physician
  • Germantown, TN
  • NPI 1336313170
  NPD
• Prateek Kumar Gupta, MBBS

  • Vascular Surgery Physician
  • Germantown, TN
  • NPI 1952555666
  NPD

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1083433825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 N QUAIL HOLLOW RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381201414",
            "telephone_number": "901-390-2930",
            "fax_number": "901-390-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 N QUAIL HOLLOW RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381201414",
            "telephone_number": "901-390-2930",
            "fax_number": "901-390-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "901-390-2930"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon F Anzivino, NP
• Aoc TN, LLC
• Leah Marie Apalodimas, APN, CPNP
• Apc Holdings LLC
• Apex Primary Health Care PC
• Alan Henry Appelbaum, MD
• Apple Grove Alzheimer'S & Dementia Residence
• Alison Apple, D.PH.
• Hannah Apple
• Lynn Apple, PT

• Ambulatory Surgical Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.