Surgery Center of Decatur LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

12143 Issued in AL

Legal business name

SURGERY CENTER OF DECATUR LP

Practice address

1122 14TH Avenue SE
Decatur, AL 35601-3361

Phone

(256) 560-2890

Fax

(256) 560-2891

NPI assigned

Aug 31, 2006

Last updated

Aug 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Lathram

Title

Administrator

Phone

(256) 560-2890

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Listed as

Surgery Center of Decatur LPCCN 01C0001043

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• H H Health System-Morgan LLC

  dba Decatur Morgan Hospital-Decatur Campus

  • General Acute Care Hospital
  • Decatur, AL
  • NPI 1356692297

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1962513788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1164",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356021164",
            "telephone_number": "256-560-2890",
            "fax_number": "256-560-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 14TH AVENUE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013361",
            "telephone_number": "256-560-2890",
            "fax_number": "256-560-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF DECATUR LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "LATHRAM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-560-2890",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AL",
            "license": "12143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ABC0073C",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunbridge Healthcare LLC (River City Center)
• Sunbridge Home Health Care, Inc.
• Sunshine Mental Wellness Inc
• Sunsouth Diabetic Solutions, LLC (Decatur Pharmacy & Diabetic Supply)
• Sunsouth Diabetic Solutions, LLC (Diabetic Solutions Pharmacy)
• Surgery Consultants of Decatur, PC
• Surgical Associates of N Alabama
• Bernice Renee Swain, DO
• Manjula S Swamy, MD
• Sivappa S Swamy, MD

• Ambulatory Surgical Clinic/Center in Decatur, AL
• Providers in Decatur, AL by specialty
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.

Verify at the official NPI Registry.