Active NPI
The Surgical Clinic Associates, P.a.
- Surgery Physician
- Jackson, MS
National Provider Identifier
1821185786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- THE SURGICAL CLINIC ASSOCIATES, P.A.
- Practice address
- 501 Marshall St
Suite 500
Jackson, MS 39202-1651 - Phone
- (601) 948-1411
- Fax
- (601) 948-0090
- NPI assigned
- Oct 10, 2006
- Last updated
- Nov 4, 2009
- 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
- Mr. Terry Hickman, CPA
- Title
- Administrator
- Phone
- (601) 948-1411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MS | Primary |
Addresses
Primary practice location
501 Marshall St
Suite 500
Jackson, MS 39202-1651
Mailing address
501 Marshall St
Suite 500
Jackson, MS 39202-1651
Phone (601) 948-1411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09012031 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
348 Crossgates Blvd
Ste 2400
Brandon, MS 39042
Phone (601) 824-3977
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Surgery Physician
- Jackson, MS
- NPI 1326153149
-
- Surgery Physician
- Jackson, MS
- NPI 1427145002
-
- Surgery Physician
- Jackson, MS
- NPI 1699137786
-
- Surgery Physician
- Jackson, MS
- NPI 1154310571
-
- Surgery Physician
- Jackson, MS
- NPI 1740577436
-
- Surgery Physician
- Jackson, MS
- NPI 1689803603
-
- Surgery Physician
- Jackson, MS
- NPI 1649485855
-
- Surgery Physician
- Jackson, MS
- NPI 1962451898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257292800000",
"number": "1821185786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MARSHALL ST",
"address_2": "SUITE 500",
"city": "JACKSON",
"state": "MS",
"postal_code": "392021651",
"telephone_number": "601-948-1411",
"fax_number": "601-948-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MARSHALL ST",
"address_2": "SUITE 500",
"city": "JACKSON",
"state": "MS",
"postal_code": "392021651",
"telephone_number": "601-948-1411",
"fax_number": "601-948-0090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE SURGICAL CLINIC ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2009-11-04",
"status": "A",
"authorized_official_last_name": "HICKMAN",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "601-948-1411",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09012031",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
- The Journey of Knowledge
- The Kristian Jacob Autism Center
- The Medical Foundation of Central Mississippi (Baptist Valve Center)
- The Pain Clinic of Mississippi, PLLC
- The Prudent Nurse (The Nurse's Station)
- The University of Mississippi Medical Center
- The Wellness Connection, LLC (The Wellness Connection)
- The Womans Clinic of Ms PLLC
- The Wound & Podiatry Center
- The Wound Care Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.