Tupelo Surgery Center, L.L.C.

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

0502562 Issued in MS

Legal business name

TUPELO SURGERY CENTER, L.L.C.

Practice address

3353 N Gloster St
Suite 300
Tupelo, MS 38804-9735

Phone

(662) 407-0334

Fax

(662) 840-5614

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Sondra Byrd

Title

Business Office Manager

Phone

(662) 844-3555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Listed as

Tupelo Surgery Center LLCCCN 25C0001040

Medicare certification status

ActiveFrom the Provider of Services file

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 1

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

• Sonya Mitchell Miles, M.D.

  • Ophthalmology Physician
  • Tupelo, MS
  • NPI 1750581781
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1164472031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 N GLOSTER ST",
            "address_2": "SUITE 300",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388049735",
            "telephone_number": "662-407-0334",
            "fax_number": "662-840-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 N GLOSTER ST",
            "address_2": "SUITE 300",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388049735",
            "telephone_number": "662-407-0334",
            "fax_number": "662-840-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUPELO SURGERY CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "SONDRA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "662-844-3555"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "MS",
            "license": "0502562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0770601",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tupelo Pathology Group, P.a.
• Tupelo Plastic Surgery Clinic of Tupelo PA
• Tupelo Sleep Diagnostics (The Reggie White Sleep Disorder Center - Tupelo)
• Tupelo Smiles Family and Cosmetic Dentistry
• Tupelo Specialty Pharmacy, LLC
• Tupelo Urology Center
• Michelle Turba, NP
• Kayla Coleman Turnage, OTR/L
• Turnaround Care Medical Clinic LLC
• Blaine Joseph Turner Jr., DMD

• Ophthalmologic Surgery Clinic/Center in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Ophthalmologic Surgery Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.