Corinth Surgery Center, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

CORINTH SURGERY CENTER, LLC

Practice address

401 Alcorn Dr Ste 1C
Corinth, MS 38834-9071

Phone

(662) 293-2000

Fax

(662) 665-0857

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Jackson, BSN

Title

Administrator

Phone

(662) 293-2000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679554190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ALCORN DR STE 1C",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349071",
            "telephone_number": "662-293-2000",
            "fax_number": "662-665-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ALCORN DR STE 1C",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349071",
            "telephone_number": "662-293-2000",
            "fax_number": "662-665-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORINTH SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-293-2000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP NUMBER",
            "identifier": "DC8520",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03707532",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corinth Laser Center Inc
• Corinth Medical Specialists
• Corinth Pulmonary Clinic and Rehabilitation, PA
• Corinth School District
• Corinth School District
• Corinth Surgery Center, LLC
• Corinth Surgical Clinic, P.a.
• Caitlin Bridget Corker Relph, PHARMD
• Cornerstone Health & Rehab of Corinth, LLC
• Cornerstone Rehabilitation and Healthcare Center, LLC

• Certified Registered Nurse Anesthetist in Corinth, MS
• Providers in Corinth, MS by specialty
• Certified Registered Nurse Anesthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.