Active NPI
Beckley Surgery Center, Inc
- Ambulatory Surgical Clinic/Center
- Beckley, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 1351
- Legal business name
- BECKLEY SURGERY CENTER, INC
- Practice address
- 84 Brookshire LN
Beckley, WV 25801-6765 - Phone
- (304) 255-2724
- Fax
- (304) 255-3691
- NPI assigned
- Nov 2, 2005
- Last updated
- May 19, 2025
- 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
- Joseph Jefferds Sinclair
- Title
- Authorized Official
- Phone
- (304) 343-3937
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 1351 | WV | Primary |
Addresses
Primary practice location
84 Brookshire LN
Beckley, WV 25801-6765
Mailing address
84 Brookshire LN
Beckley, WV 25801-6765
Phone (304) 255-2724
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5080008000 | Medicaid | WV | |
| 1047629 | Other | WV | WORKERS COMP PROV # |
| 000394182 | Other | WV | BCBS PAY TO ID |
| 490004321 | Other | WV | RAILROAD MEDICARE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091204000019 | WV | Part B Supplier - Ambulatory Surgical Center | 5799824769 | Practice locations: Beckley, WV |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Beckley Surgery Center Inc
- 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 |
|---|---|---|---|
| 51D1056546 | Beckley Surgery Center Inc | Certificate of waiver | Jul 18, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Charleston, WV
- NPI 1891876611
-
- Facial Plastic Surgery Physician
- Beckley, WV
- NPI 1760443162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747612800000",
"number": "1760473425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 BROOKSHIRE LN",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258016765",
"telephone_number": "304-255-2724",
"fax_number": "304-255-3691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 BROOKSHIRE LN",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258016765",
"telephone_number": "304-255-2724",
"fax_number": "304-255-3691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BECKLEY SURGERY CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-02",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A",
"authorized_official_last_name": "SINCLAIR",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "JEFFERDS",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "304-343-3937"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "WV",
"license": "1351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5080008000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP PROV #",
"identifier": "1047629",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PAY TO ID",
"identifier": "000394182",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "490004321",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.