MADISON GENERAL SURGERY, PLLC (NPI# 1609067768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609067768 |
| Entity Type | Organization |
| Organization Name | MADISON GENERAL SURGERY, PLLC |
| Practice Address |
106 Highland Way Madison MS 39110-6915 |
| Mailing Address |
971 Lakeland Dr Suite 1252 Jackson MS 39216-4643 |
| Practice Telephone | 6013666606 |
| Practice Fax Number | 6013666647 |
| Mailing Telephone | 6013666606 |
| Mailing Fax Number | 6013666647 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |
| Authorized Official Name | DR. DAVID R CARROLL (MEMBER) |
| Authorized Official Telephone | 6013661011 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
106 HIGHLAND WAY |
| City | MADISON |
| State | MS |
| Zip Code | 39110-6915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497869507 | Madison Imaging LLC | Radiology | 106 Highland Way, Suite 100, Madison, MS 39110 | 2006-08-18 |
| 1891100970 | Jill Taylor Easley | Nurse Practitioner | 106 Highland Way, Suite 103, Madison, MS 39110-6929 | 2014-06-26 |
| 1316361686 | St Dominic Medical Associates LLC | Surgery | 106 Highland Way, Ste 200, Madison, MS 39110-6929 | 2014-02-07 |
| 1356608939 | Webster Arthritis Clinic, Pllc | Internal Medicine | 106 Highland Way, Suite 202, Madison, MS 39110-6929 | 2012-04-19 |
| 1427345370 | Elizabeth Bryce Mooney | Physical Therapist | 106 Highland Way, Suite 201, Madison, MS 39110 | 2011-06-29 |
| 1689970857 | Beau Ryan Bensinger | Specialist/Technologist, Other | 106 Highland Way, Ste 204, Madison, MS 39110-6929 | 2011-02-04 |
| 1194951608 | St. Dominic Medical Associates Inc | Family Medicine | 106 Highland Way, Suite 103, Madison, MS 39110-6929 | 2009-06-10 |
| 1568610020 | Winston T Capel,m.d.,pa | Neurological Surgery | 106 Highland Way, Suite 104, Madison, MS 39110-6929 | 2008-09-08 |
| 1528259686 | Madison Surgicare Center, Pllc | Clinic/Center | 106 Highland Way, Madison, MS 39110-6915 | 2007-08-05 |
| 1982895041 | Madison Neurosurgery, Pllc | Clinic/Center | 106 Highland Way, Madison, MS 39110-6915 | 2007-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391619 | Madison Spine Surgery Center, LLC | Clinic/Center | 160 Fountains Blvd Ste C, Madison, MS 39110-6380 | 2019-11-22 |
| 1487094058 | Comprehensive Pain Center for Surgery | Clinic/Center | 129 Fountains Blvd., Madison, MS 39110 | 2013-06-27 |
| 1720017973 | Surgi Center of Greater Madison, LLC | Clinic/Center | 34 Schroeder Ct, Ste 100, Madison, WI 53711-2525 | 2006-07-01 |
| 1679570774 | Novamed Surgery Center of Madison, Limited Partnership | Clinic/Center | 1200 John Q Hammons Dr, Suite 102, Madison, WI 53717-1959 | 2005-07-05 |
| 1245233220 | Northridge Surgery Center, Lp | Clinic/Center | 647 Myatt Dr, Madison, TN 37115-2125 | 2005-05-24 |
| 1093214819 | Premier Surgical Center, LLC | Clinic/Center | 160 Fountains Blvd, Madison, MS 39110 | 2018-02-07 |
| 1528259686 | Madison Surgicare Center, Pllc | Clinic/Center | 106 Highland Way, Madison, MS 39110-6915 | 2007-08-05 |
| 1982895041 | Madison Neurosurgery, Pllc | Clinic/Center | 106 Highland Way, Madison, MS 39110-6915 | 2007-08-05 |
| 1255522314 | Madison Pain Management, Pllc | Clinic/Center | 106 Highland Way, Madison, MS 39110-6915 | 2007-08-05 |
| 1235201369 | Dean Health Systems, Inc. | Clinic/Center | 1025 Regent St, Madison, WI 53715-1248 | 2006-11-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.