Active NPI
Surgical Clinic Solutions, LLC
- Ambulatory Surgical Clinic/Center
- Vestavia Hills, AL
National Provider Identifier
1669031886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Alabama
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 01D2174114 | Surgical Institute of Alabama Clinic Solutions LLC | Certificate of waiver | Oct 23, 2027 |
National Provider Directory
National Provider DirectoryMember 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.
-
- Anesthesiology Physician
- Vestavia Hills, AL
- NPI 1710714464
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.