Organization Active NPI

Royal Surgery Center

  • Surgery Physician
  • Vidalia, LA
National Provider Identifier
1851113567
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ROYAL SURGERY CENTER
Practice address
107 Front St Ste 2126
Vidalia, LA 71373-2835
Phone
(318) 336-2216
NPI assigned
Oct 25, 2024
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Royal Surgery Center
Title
Ceo
Phone
(318) 804-7480

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Surgery Physician 208600000X Primary

Addresses

Primary practice location

107 Front St Ste 2126
Vidalia, LA 71373-2835

Mailing address

107 Front St Ste 2126
Vidalia, LA 71373-2835
Phone (318) 336-2216

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1851113567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FRONT ST STE 2126",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713732835",
            "telephone_number": "318-336-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FRONT ST STE 2126",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713732835",
            "telephone_number": "318-336-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "CENTER",
        "authorized_official_first_name": "ROYAL",
        "authorized_official_middle_name": "SURGERY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-804-7480"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.