Organization Active NPI

USA Baldwin County ASC, LLC

Doing business as Baldwin County Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Fairhope, AL
National Provider Identifier
1649961640
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
USA BALDWIN COUNTY ASC, LLC
Doing business as
Baldwin County Surgery Center
USA Health Baldwin ASC
Practice address
21890 State Highway 181
Fairhope, AL 36532-5139
Phone
(251) 517-4284
NPI assigned
May 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Jennifer Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5954

Specialties & licenses 1

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

Addresses

Primary practice location

21890 State Highway 181
Fairhope, AL 36532-5139

Mailing address

21890 State Highway 181
Fairhope, AL 36532-5139
Phone (251) 517-4284

Other names 2

  • Baldwin County Surgery Center Doing business as
  • USA Health Baldwin ASC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230703001126 AL Part B Supplier - Ambulatory Surgical Center 0749649135 Practice locations: Fairhope, AL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
USA Baldwin County ASC LLC Dba USA Health Baldwin ASCCCN 01C0001106
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
01D2287117USA Baldwin County ASC, LLC21890 State Highway 181, Fairhope, AL 36532Certificate of waiverAug 8, 2027

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1649961640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21890 STATE HIGHWAY 181",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365325139",
            "telephone_number": "251-517-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21890 STATE HIGHWAY 181",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365325139",
            "telephone_number": "251-517-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA BALDWIN COUNTY ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baldwin County Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baldwin County Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "USA Health Baldwin ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.