Surgery Clinic, LLC
NPI 1780068460ActiveOrganization· Surgery· Jacksonville, AL
Surgery in Jacksonville, Alabama, registered in NPPES in July 2015, part of Surgery Clinic, LLC. The authorized official on file is Dianette Keener, Billing Manager.
Overview
| NPI | 1780068460 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Surgery Clinic, LLC |
| NPI issued | Jul 13, 2015 |
| Last updated in NPPES | Feb 10, 2021 |
| Certified by provider | Feb 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|