Organization Active NPI

Texas Health Surgery Center Forney, LLC

  • Ambulatory Surgical Clinic/Center
  • Forney, TX
National Provider Identifier
1295557783
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TEXAS HEALTH SURGERY CENTER FORNEY, LLC
Practice address
250 Kroger Drive
Suite 110
Forney, TX 75126
Phone
(972) 421-4899
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Julie Elsey
Title
VP Operations
Phone
(972) 421-4899

Specialties & licenses 1

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

Addresses

Primary practice location

250 Kroger Drive
Suite 110
Forney, TX 75126

Mailing address

250 Kroger Drive
Suite 110
Forney, TX 75126

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250909002987 TX Part B Supplier - Ambulatory Surgical Center 9133621923 Practice locations: Forney, TX

Ambulatory surgical center certification: CCN 45C0451322

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TEXAS HEALTH SURGERY CENTER FORNEY
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Oct 14, 2025
Last certification
Oct 8, 2025
Ownership / control type
Proprietary
Facility address
250 Kroger Drive Suite 110
Forney, TX 75126

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
45D2323629Texas Health Surgery Center Forney, LLC250 Kroger Drive, Forney, TX 75126Certificate of waiverMay 8, 2027

National Provider Directory

National Provider Directory

Locations

250 Kroger Dr
Ste 110
Forney, TX 75126
Phone (833) 441-3633

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1295557783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 KROGER DRIVE",
            "address_2": "SUITE 110",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 KROGER DRIVE",
            "address_2": "SUITE 110",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "972-421-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH SURGERY CENTER FORNEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "ELSEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "972-421-4899"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

Verify at the official NPI Registry.