Organization Active NPI

East Alabama Ambulatory Surgery Center, LLC

Doing business as East Alabama Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Auburn, AL
National Provider Identifier
1487270492
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
EAST ALABAMA AMBULATORY SURGERY CENTER, LLC
Doing business as
East Alabama Ambulatory Surgery Center
Practice address
900 Camp Auburn Road Suite 200
Auburn, AL 36849-0001
Phone
(334) 364-3200
Fax
(334) 364-3483
NPI assigned
Jun 25, 2020
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
De'Ana Singletary
Title
Administrator
Phone
(334) 364-3226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

900 Camp Auburn Road Suite 200
Auburn, AL 36849-0001

Mailing address

900 Camp Auburn Road Suite 200
Auburn, AL 36849-0001
Phone (334) 364-3200

Other names 1

  • East Alabama Ambulatory Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210915002552 AL Part B Supplier - Ambulatory Surgical Center 7517363609 Practice locations: Auburn, AL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
East Alabama Ambulatory Surgery CenterCCN 01C0001065
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

900 Camp Auburn Rd
Auburn, AL 36832
Phone (334) 364-3000

900 Camp Auburn Rd
Ste 200
Auburn, AL 36832
Phone (334) 364-3200

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.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1487270492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CAMP AUBURN ROAD SUITE 200",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368490001",
            "telephone_number": "334-364-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CAMP AUBURN ROAD SUITE 200",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368490001",
            "telephone_number": "334-364-3200",
            "fax_number": "334-364-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ALABAMA AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "SINGLETARY",
        "authorized_official_first_name": "DE'ANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-364-3226"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Alabama Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Alabama Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.