Organization Active NPI

Spring Hill Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Spring Hill, TN
National Provider Identifier
1114260254
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SPRING HILL SURGERY CENTER, LLC
Practice address
1003 Reserve Blvd Ste 210
Spring Hill, TN 37174-3246
Phone
(931) 489-2644
NPI assigned
Mar 27, 2013
Last updated
Feb 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Jennifer B. Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5954

Specialties & licenses 1

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

Addresses

Primary practice location

1003 Reserve Blvd Ste 210
Spring Hill, TN 37174-3246

Mailing address

1003 Reserve Blvd Ste 210
Spring Hill, TN 37174-3246
Phone (931) 489-2644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140109001447 TN Part B Supplier - Ambulatory Surgical Center 3173751567 Practice locations: Spring Hill, TN

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Spring Hill Surgery Center LLCCCN 44C0001186
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
44D2155647Spring Hill Surgery Center, LLC1003 Reserve Blvd, Ste 210, Spring Hill, TN 37174Certificate of waiverOct 1, 2026

National Provider Directory

National Provider Directory

Member of 2

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1003 Reserve Blvd
Ste 210
Spring Hill, TN 37174
Phone (931) 489-2636

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1114260254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 RESERVE BLVD STE 210",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371743246",
            "telephone_number": "931-489-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 RESERVE BLVD STE 210",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371743246",
            "telephone_number": "931-489-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING HILL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.