OrganizationActive
Jea Surgical, LLC
NPI 1669242822 · Ambulatory Surgical Clinic/Center · Madison, MS
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
Practice location
1026 Baptist Circle
Suite 101
Madison, MS 39110
Phone: (601) 353-2020
Approximate (ZIP-level) locationGet directions
Mailing address
1026 Baptist Cir Ste 101
Madison, MS 39110-2028
Registry dates
- Enumerated
- 2024-01-08
- Last updated
- 2025-06-13
- Certified
- 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.