Active NPI
Surgery Center of Bji, LLC
- Ambulatory Surgical Clinic/Center
- Jesup, GA
National Provider Identifier
1881911451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 30633
- Legal business name
- SURGERY CENTER OF BJI, LLC
- Practice address
- 112 Professional Court
Jesup, GA 31545 - Phone
- (912) 427-0800
- Fax
- (912) 427-6029
- NPI assigned
- Apr 22, 2010
- 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
- John Matthew Valosen, MD
- Title
- Owner/Surgeon
- Phone
- (912) 427-0800
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 | 30633 | GA | Primary |
Addresses
Primary practice location
112 Professional Court
Jesup, GA 31545
Mailing address
PO Box 1334
Jesup, GA 31598-1334
Phone (912) 427-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110729000262 | GA | Part B Supplier - Ambulatory Surgical Center | 5597933929 | Practice locations: Jesup, GA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Surgery Center of Bone and Joint Institute
- 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 |
|---|---|---|---|
| 11D2006607 | Surgery Center of Bji, LLC | Certificate of waiver | Apr 26, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Jesup, GA
- NPI 1447472048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717372800000",
"number": "1881911451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1334",
"city": "JESUP",
"state": "GA",
"postal_code": "315981334",
"telephone_number": "912-427-0800",
"fax_number": "912-427-6029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 PROFESSIONAL COURT",
"city": "JESUP",
"state": "GA",
"postal_code": "31545",
"telephone_number": "912-427-0800",
"fax_number": "912-427-6029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGERY CENTER OF BJI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-22",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A",
"authorized_official_last_name": "VALOSEN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER/SURGEON",
"authorized_official_telephone_number": "912-427-0800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "GA",
"license": "30633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jesup, GA
- Stephen P Smith, M. D., P. C.
- Gary R Stern, MD
- Holli Joy Stevens, P.T,, D.P.T.
- Michelle Bianca Stevens
- Deborah Carol Stively, APRN
- Joanie Swanson, CCC-SLP
- Kathleen Deal Tatum, LCSW
- William Ralph Taylor III
- The Howard Center for Social Cognition and Communication
- The Neurological Institute of Savannah & Center for Spine P C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.