Active NPI
Premier at Exton Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Exton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PREMIER AT EXTON SURGERY CENTER, LLC
- Practice address
- 491 John Young Way
Suite 100
Exton, PA 19341-2567 - Phone
- (484) 872-8408
- NPI assigned
- Mar 29, 2016
- Last updated
- Jul 6, 2026
- 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
- Jonathan Bailey
- Title
- Officer/Authorized Official
- Phone
- (203) 609-1168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
491 John Young Way
Suite 100
Exton, PA 19341-2567
Mailing address
491 John Young Way Ste 100
Exton, PA 19341-2567
Phone (484) 872-8408
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160616000304 | PA | Part B Supplier - Ambulatory Surgical Center | 7012208382 | Practice locations: Exton, PA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Premier at Exton Surgery Center LLC
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 39D2115703 | Premier at Exton Surgery Center LLC | Certificate of waiver | Jul 11, 2028 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1518967231
Member Of
-
dba Baptist Health System
- Psychiatric Hospital Unit
- San Antonio, TX
- NPI 1487633509
Member Of
Locations
491 John Young Way
Ste 210
Exton, PA 19341
Phone (610) 524-7251
Practitioners & affiliated clinicians
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Pottstown, PA
- NPI 1639195449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783296000000",
"number": "1376906354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "491 JOHN YOUNG WAY STE 100",
"city": "EXTON",
"state": "PA",
"postal_code": "193412567",
"telephone_number": "484-872-8408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "491 JOHN YOUNG WAY",
"address_2": "SUITE 100",
"city": "EXTON",
"state": "PA",
"postal_code": "193412567",
"telephone_number": "484-872-8408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER AT EXTON SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-29",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "203-609-1168"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Exton, PA
- Angelique Porter, LSW
- Positive Supports
- Mary Post
- Robyn Lee Powell
- Debbie M Preble, CRNP
- Premier Immediate Medical Care, LLC
- Premier Orthopaedic and Sports Medicine Assoc
- Premier Orthopaedic and Sports Medicine Associates LTD
- Premier Orthopaedic and Sports Medicine Associates LTD
- Premier Orthopaedic and Sports Medicine Associates LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.