Organization Active NPI

Center of Morehead City, LLC

  • Ambulatory Surgical Clinic/Center
  • Morehead City, NC
National Provider Identifier
1487978789
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CENTER OF MOREHEAD CITY, LLC
Doing business as
The Surgical Center of Morehead City
Practice address
3714 Guardian Ave
Suite W
Morehead City, NC 28557-2974
Phone
(252) 247-0314
Fax
(252) 247-2031
NPI assigned
Mar 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Mr. Jeffrey Snodgrass
Title
President
Phone
(615) 665-1283

Specialties & licenses 1

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

Addresses

Primary practice location

3714 Guardian Ave
Suite W
Morehead City, NC 28557-2974

Mailing address

1A Burton Hills Blvd
Attn: L&C
Nashville, TN 37215-6187
Phone (615) 240-3820

Other names 1

  • The Surgical Center of Morehead City Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101227000860 NC Part B Supplier - Ambulatory Surgical Center 0042408585 Practice locations: Morehead City, NC

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
The Surgical Center of Morehead CityCCN 34C0001048
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0963161Surgical Center of Morehead City3714 Guardian Avenue, Suite W, Morehead City, NC 28557Certificate of waiverJul 22, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1487978789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "address_2": "ATTN: L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-240-3820",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 GUARDIAN AVE",
            "address_2": "SUITE W",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572974",
            "telephone_number": "252-247-0314",
            "fax_number": "252-247-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF MOREHEAD CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Surgical Center of Morehead City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Surgical Center of Morehead City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.