Jackson Surgery Center, LLC
NPI 1336375930 · Ambulatory Surgical Clinic/Center · Montgomery, AL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Montgomery, AL (NPI 1336375930).
Provider details
- NPI number
- 1336375930
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Missy Sallas, Administrator(334) 293-3920
- License
- PENDING (AL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,196 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 299 | $503 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 241 | $252 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 218 | $339 |
| Removal of Nasal Air Passage Under Lining Tissue30140 | 53 | $614 |
| Removal of Polyps Or Growths of Esophagus, Stomach, And/Or Upper Small Bowel Using an Endoscope With Mechanical Snare43251 | 45 | $709 |
| Removal of Polyps Or Growths of Large Bowel Using a Flexible Endoscope With Electrical Cautery |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-06-09
- Last updated
- 2022-02-14
- Certified
- 2022-02-14
Frequently asked questions
- What is Jackson Surgery Center, LLC's NPI number?
- Jackson Surgery Center, LLC's National Provider Identifier (NPI) is 1336375930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Surgery Center, LLC?
- Jackson Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jackson Surgery Center, LLC located?
- Jackson Surgery Center, LLC's practice location on file with NPPES is 1725 Park Pl, Montgomery, AL 36106-1138.
- What is Jackson Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Surgery Center, LLC is (334) 293-8484.
- Does Jackson Surgery Center, LLC accept Medicare?
- Jackson Surgery Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jackson Surgery Center, LLC?
- The authorized official listed on Jackson Surgery Center, LLC's NPPES record is Missy Sallas, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Surgery Center, LLC's NPI active?
- Yes — Jackson Surgery Center, LLC's NPI (1336375930) is active in the NPPES registry as of the last update on 2022-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.