OrganizationActive
Jefferson Surgery Center PLLC
NPI 1710934542 · Ambulatory Surgical Clinic/Center · Pine Bluff, AR
Provider details
- NPI number
- 1710934542
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Crystal Bohannan, Administrator(870) 541-3640
- License
- AR3637 (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1609 W 40th Ave
Jrmc Professional Center, Suite 103
Pine Bluff, AR 71603-6329
Phone: (870) 541-3636
Fax: (870) 541-3639
Street-level locationGet directions
Mailing address
1609 W 40th Ave
Pine Bluff, AR 71603-6329
Other names (DBA / former)
- Former legal business name
- Jha Ambulatory Surgery Center, LLC
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2008-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.