NPIMap

Organization Active NPI

Surgical Clinic PC

  • Clinic/Center
  • Opelika, AL
National Provider Identifier
1295762540
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
00012101 Issued in AL
Legal business name
SURGICAL CLINIC PC
Practice address
121 N 20TH St
BLDG 3
Opelika, AL 36801-5449
Phone
(334) 745-6271
Fax
(334) 742-9879
NPI assigned
Jun 26, 2006
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Dr. John S Thomas, MDNPI 1558393470
Title
President
Phone
(334) 745-6271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 00012101 AL Primary

Addresses

Primary practice location

121 N 20TH St
BLDG 3
Opelika, AL 36801-5449

Mailing address

121 N 20TH St
BLDG 3
Opelika, AL 36801-5449
Phone (334) 745-6271

Other identifiers 1

IdentifierTypeStateIssuer
529402890MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031210000793 AL Part B Supplier - Clinic/Group Practice 0244136273 Receives reassigned benefits from 13 practitioners
Practice locations: Opelika, AL
O20170418002810 AL DME Supplier - Physician - General Surgery 0244136273 Practice locations: Opelika, AL

National Provider Directory

National Provider Directory

Locations

121 N 20th St
Ste 3
Opelika, AL 36801
Phone (334) 326-4957

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1295762540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N 20TH ST",
            "address_2": "BLDG 3",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015449",
            "telephone_number": "334-745-6271",
            "fax_number": "334-742-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N 20TH ST",
            "address_2": "BLDG 3",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015449",
            "telephone_number": "334-745-6271",
            "fax_number": "334-742-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-745-6271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": "00012101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529402890",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.