PSG Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PSG SURGERY CENTER LLC

Doing business as

Surgery Center of Amarillo

Practice address

1010 S Coulter St
Amarillo, TX 79106-1781

Phone

(806) 418-8870

Fax

(806) 418-6684

NPI assigned

Jun 22, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Michael Lee Grant

Title

Administrator

Phone

(806) 418-8870

Specialties & licenses 1

Addresses

Other names 1

• Surgery Center of Amarillo Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Surgery Center of AmarilloCCN 45C0001636

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

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1194245951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061781",
            "telephone_number": "806-418-8870",
            "fax_number": "806-418-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061781",
            "telephone_number": "806-418-8870",
            "fax_number": "806-418-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSG SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2025-09-12",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-418-8870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaelgrant@scamarillo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1010 S Coulter St",
            "city": "Amarillo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "791061781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Surgery Center of Amarillo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgery Center of Amarillo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jarryn Prowell
• Proz Anesthesia, PLLC
• Brian T. Pruitt, M.D.
• Jessie Raylene Pruitt, CRT RCP
• Spencer Allen Pruitt, M.D.
• Brandon Pshigoda, PHARMD
• Cara Pshigoda, PHARMD
• Melinda Ptospero, COTA
• Olga A Pudovka Gross, MD, MPH, FNP-C
• Andres Puente, H.I.S

• Ambulatory Surgical Clinic/Center in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.