Jea Surgical, LLC
NPI 1669242822 · Ambulatory Surgical Clinic/Center · Madison, MS
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jea Surgical, LLC is a Ambulatory Surgical Clinic/Center organization in Madison, MS (NPI 1669242822).
Provider details
- NPI number
- 1669242822
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shane Humphries, Practice Administrator(601) 353-2020
Specialties & taxonomies
Ambulatory Health Care Facilities
- Ophthalmology Physician207W00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-01-08
- Last updated
- 2025-06-13
- Certified
- 2025-06-13
Frequently asked questions
- What is Jea Surgical, LLC's NPI number?
- Jea Surgical, LLC's National Provider Identifier (NPI) is 1669242822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jea Surgical, LLC?
- Jea Surgical, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jea Surgical, LLC located?
- Jea Surgical, LLC's practice location on file with NPPES is 1026 Baptist Circle, Madison, MS 39110.
- What is Jea Surgical, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jea Surgical, LLC is (601) 353-2020.
- Does Jea Surgical, LLC accept Medicare?
- Jea Surgical, 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 Jea Surgical, LLC?
- The authorized official listed on Jea Surgical, LLC's NPPES record is Shane Humphries, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jea Surgical, LLC's NPI active?
- Yes — Jea Surgical, LLC's NPI (1669242822) is active in the NPPES registry as of the last update on 2025-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.