Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jacksonville Surgical & Medical Affiliates, LLC

Clinic/Center in Jacksonville, AL · enumerated 2008 · authorized official Tammy Cobb, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104078831

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Registry record

Entity type Organization (Type 2)

Legal business name Jacksonville Surgical & Medical Affiliates, LLC

Practice address 1460 2nd Ave Sw, Jacksonville, AL, 36265

Phone (256) 782-4395

Enumeration date Oct 13, 2008

Last updated in NPPES Oct 13, 2008

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Tammy Cobb

Title Cfo

Phone (256) 782-4520

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Jacksonville Surgical & Medical Affiliates, LLC?

NPPES lists Tammy Cobb (Cfo) as the authorized official for this organization.

What is the NPI number for Jacksonville Surgical & Medical Affiliates, LLC?

The NPI for Jacksonville Surgical & Medical Affiliates, LLC is 1104078831, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Russell Ingram Family Medicine Physician · Jacksonville, AL NPI 1639163397 James Yates Internal Medicine Physician · Jacksonville, AL NPI 1699769174 Dr Muhamad Mazen Festok Clinic/Center · Jacksonville, AL NPI 1235316514

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-10-13.