Active NPI
Mariposa Surgery Center PLLC
Doing business as Mariposa Surgery Center
- Ambulatory Surgical Clinic/Center
- Corinth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MARIPOSA SURGERY CENTER PLLC
- Doing business as
- Mariposa Surgery Center
- Practice address
- 3502 Corinth Pkwy Ste 120
Corinth, TX 76208-5481 - Phone
- (940) 765-8403
- Fax
- (940) 380-8041
- NPI assigned
- Feb 8, 2022
- 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
- Dr. Carolyn Nance Garner, MD
- Title
- President
- Phone
- (940) 498-2828
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
3502 Corinth Pkwy Ste 120
Corinth, TX 76208-5481
Mailing address
3502 Corinth Pkwy Ste 120
Corinth, TX 76208-5481
Phone (940) 498-2828
Other names 1
- Mariposa Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230327002310 | TX | Part B Supplier - Ambulatory Surgical Center | 9133593544 | Practice locations: Corinth, TX |
Ambulatory surgical center certification: CCN 45C0451301
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
- Mariposa Surgery Center PLLC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Nov 27, 2024
- Last certification
- Nov 5, 2024
- Ownership / control type
- Proprietary
- Facility address
- 3502 Corinth Pkwy, Unit 120
Corinth, TX 76208
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 |
|---|---|---|---|
| 45D2307344 | Mariposa Surgery Center PLLC | Certificate of waiver | Jul 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
3502 Corinth Pkwy
Unit 120
Corinth, TX 76208
Phone (940) 498-2828
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Corinth, TX
- NPI 1750493185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761523200000",
"number": "1467106591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3502 CORINTH PKWY STE 120",
"city": "CORINTH",
"state": "TX",
"postal_code": "762085481",
"telephone_number": "940-498-2828",
"fax_number": "940-380-8041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 CORINTH PKWY STE 120",
"city": "CORINTH",
"state": "TX",
"postal_code": "762085481",
"telephone_number": "940-765-8403",
"fax_number": "940-380-8041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIPOSA SURGERY CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-08",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A",
"authorized_official_last_name": "GARNER",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "NANCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "940-498-2828",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mariposa Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corinth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.