Active NPI
Southpoint Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Durham, NC
National Provider Identifier
1972232981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SOUTHPOINT SURGERY CENTER LLC
- Practice address
- 7810 NC-751 Hwy
Ste 100
Durham, NC 27713 - Phone
- (984) 312-7997
- NPI assigned
- Jun 6, 2022
- Last updated
- Feb 28, 2023
- 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
- Jennifer Baldock
- Title
- Officer and Authorized Official
- Phone
- (615) 234-5954
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
7810 NC-751 Hwy
Ste 100
Durham, NC 27713
Mailing address
7810 NC-751 Hwy
Ste 100
Durham, NC 27713
Phone (984) 312-7997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230113001249 | NC | Part B Supplier - Ambulatory Surgical Center | 0143691964 | Practice locations: Durham, NC |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Southpoint Surgery Center LLC
- 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 |
|---|---|---|---|
| 34D2271729 | Southpoint Surgery Center, LLC | Certificate of waiver | Nov 7, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
7810 NC 751 Hwy
Durham, NC 27713
Phone (919) 544-7270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677542400000",
"number": "1972232981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7810 NC-751 HWY",
"address_2": "STE 100",
"city": "DURHAM",
"state": "NC",
"postal_code": "27713",
"telephone_number": "984-312-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7810 NC-751 HWY",
"address_2": "STE 100",
"city": "DURHAM",
"state": "NC",
"postal_code": "27713",
"telephone_number": "984-312-7997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHPOINT SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-06",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A",
"authorized_official_last_name": "BALDOCK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-234-5954"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
- Southpoint Family Medicine, PLLC
- Southpoint Medicine and Women's Health Assocates
- Southpoint Opco LLC
- Southpoint Plastic Surgery, PC
- Southpoint Podiatry, Inc.
- Southpoint Surgical PLLC
- Southpoint Vision, Christy Byrd, OD, PLLC
- Southwest Durham Family Medicine, PLLC (SW Durham Family Medicine)
- Jason Southworth, PHARMD
- Jessica Aron Souza
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.