Madison Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

10441 Issued in AL

Legal business name

MADISON SURGERY CENTER, LLC

Practice address

460 Lanier Rd
Madison, AL 35758-2631

Phone

(256) 319-9000

Fax

(256) 319-9009

NPI assigned

Jul 17, 2006

Last updated

Aug 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Ann Kelly

Title

Administrator

Phone

(256) 319-9000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Listed as

Madison Surgery Center LLCCCN 01C0001044

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

Practitioners 1

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.

• George H Godwin III, M.D., F.A.C.S.

  • Otolaryngology Physician
  • Decatur, AL
  • NPI 1558342931
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1356369755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 LANIER RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582631",
            "telephone_number": "256-319-9000",
            "fax_number": "256-319-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 LANIER RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582631",
            "telephone_number": "256-319-9000",
            "fax_number": "256-319-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-319-9000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AL",
            "license": "10441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Physical Therapy Services
• Madison Primary Care LLC (Madison Primary Care)
• Madison Psychiatry Services LLC
• Madison Speech Associates, Inc
• Madison Speech LLC
• Madison Valley Pediatrics
• Mae Hill Psychiatry, LLC
• Jessica K Magnusson, M.D.
• Indira Shereese Maharaj-Walls
• Spencer James Mahoney, BSW

• Ambulatory Surgical Clinic/Center in Madison, AL
• Providers in Madison, AL by specialty
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.