Active NPI
Mississippi ASC JV LLC
- Ambulatory Surgical Clinic/Center
- Madison, MS
National Provider Identifier
1386417806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MISSISSIPPI ASC JV LLC
- Doing business as
- Retina Surgery Center of Mississippi
- Practice address
- 1026 Baptist Cir Ste 401
Madison, MS 39110-2028 - Phone
- (601) 981-4091
- Fax
- (601) 354-7264
- NPI assigned
- Nov 6, 2023
- 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
- Laura Barton
- Title
- Director
- Phone
- (601) 981-4091
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1026 Baptist Cir Ste 401
Madison, MS 39110-2028
Mailing address
1026 Baptist Cir Ste 401
Madison, MS 39110-2028
Phone (601) 981-4091
Other names 1
- Retina Surgery Center of Mississippi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240430001960 | MS | Part B Supplier - Ambulatory Surgical Center | 6002256609 | Practice locations: Madison, MS |
Ambulatory surgical center certification: CCN 25C0001107
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
- Retina Surgery Center of Mississippi
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Sep 27, 2024
- Last certification
- Sep 27, 2024
- Facility address
- 1026 Baptist Circle, Suite 401
Madison, MS 39110
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 |
|---|---|---|---|
| 25D2302076 | Mississippi Retina ASC JV, LLC | Certificate of waiver | Apr 3, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1386417806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 BAPTIST CIR STE 401",
"city": "MADISON",
"state": "MS",
"postal_code": "391102028",
"telephone_number": "601-981-4091",
"fax_number": "601-981-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 BAPTIST CIR STE 401",
"city": "MADISON",
"state": "MS",
"postal_code": "391102028",
"telephone_number": "601-981-4091",
"fax_number": "601-354-7264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSISSIPPI ASC JV LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-06",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "BARTON",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "601-981-4091"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Retina Surgery Center of Mississippi",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Retina Surgery Center of Mississippi",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Madison, MS
- Miller Family Chiropractic
- Miller Family Chiropractic PA
- Elizabeth Thompson Miller, OT
- James Ryan Miller, D.C.
- Anna L Minga, OT
- Mississippi Baptist Surgery Center LLC
- Mississippi Breastfeeding Medicine Clinic, PLLC
- Mississippi Center for Advanced Medicine PC
- Mississippi Center for Advanced Medicine, PC
- Mississippi Center for Advanced Medicine, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.