OrganizationActive
Surgery Clinic, LLC
NPI 1780068460 · Surgery Physician · Jacksonville, AL
Surgery Clinic, LLC is a Surgery Physician organization in Jacksonville, AL (NPI 1780068460).
Provider details
- NPI number
- 1780068460
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Surgery Clinic, LLC
- Organization subpart
- Yes
- Authorized official
- Dianette Keener, Billing Manager(256) 547-6331
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1622 Church Ave Se
Jacksonville, AL 36265-3200
Phone: (256) 547-6331
Fax: (256) 547-1711
Street-level locationGet directions
Mailing address
419 S 5th St
Gadsden, AL 35901-5101
Other names (DBA / former)
- Doing business as
- Surgery Clinic, LLC - Jacksonville
Registry dates
- Enumerated
- 2015-07-13
- Last updated
- 2021-02-10
- Certified
- 2021-02-10
Frequently asked questions
- What is Surgery Clinic, LLC's NPI number?
- Surgery Clinic, LLC's National Provider Identifier (NPI) is 1780068460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgery Clinic, LLC?
- Surgery Clinic, LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Surgery Clinic, LLC located?
- Surgery Clinic, LLC's practice location on file with NPPES is 1622 Church Ave Se, Jacksonville, AL 36265-3200.
- What is Surgery Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Surgery Clinic, LLC is (256) 547-6331.
- Who is the authorized official for Surgery Clinic, LLC?
- The authorized official listed on Surgery Clinic, LLC's NPPES record is Dianette Keener, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgery Clinic, LLC's NPI active?
- Yes — Surgery Clinic, LLC's NPI (1780068460) is active in the NPPES registry as of the last update on 2021-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.