Active NPI
Texas Health Surgery Center Forney, LLC
- Ambulatory Surgical Clinic/Center
- Forney, TX
National Provider Identifier
1295557783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2323629 | Texas Health Surgery Center Forney, LLC | Certificate of waiver | May 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- Taylor'S Touch of Clarity Mental Health Counseling
- Filmon Kahsay Tekle
- Telemedix Health
- Temis Health Services Inc
- Samson Goitom Tesfaselassie
- Texas Orthodontics for Kids, PC
- Texas Thrive ABA Therapy
- Texas Thrive ABA Therapy
- Texas-One Home Healthcare LLC
- The Vine Speech and Language Therapy Services, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.