Organization Active NPI

Surgical Clinic Solutions, LLC

  • Ambulatory Surgical Clinic/Center
  • Vestavia Hills, AL
National Provider Identifier
1669031886
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SURGICAL CLINIC SOLUTIONS, LLC
Practice address
1021 Montgomery Hwy
Vestavia Hills, AL 35216-2805
Phone
(205) 824-6250
Fax
(205) 824-6251
NPI assigned
Jun 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Kelly Wright
Title
Manager
Phone
(205) 949-1800

Specialties & licenses 1

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

Addresses

Primary practice location

1021 Montgomery Hwy
Vestavia Hills, AL 35216-2805

Mailing address

1 Chase Corporate Dr Ste 200
Hoover, AL 35244-7060
Phone (205) 824-6250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191015001358 AL Part B Supplier - Ambulatory Surgical Center 6709117294 Practice locations: Vestavia Hills, AL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Surgical Clinic Solutions LLC Dba Surgical Institute of AlabamaCCN 01C0001062
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
01D2174114Surgical Institute of Alabama Clinic Solutions LLC1021 Montgomery Hwy Suite 100, Vestavia Hills, AL 35216Certificate of waiverOct 23, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1669031886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHASE CORPORATE DR STE 200",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352447060",
            "telephone_number": "205-824-6250",
            "fax_number": "205-824-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MONTGOMERY HWY",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162805",
            "telephone_number": "205-824-6250",
            "fax_number": "205-824-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CLINIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "205-949-1800"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.