Jea Surgical, LLC
Jea Surgical, LLC is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Madison, MS, holding Type 2 (organization) NPI 1669242822 since 2024. The authorized official on file is Shane Humphries, Practice Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1669242822 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jea Surgical, LLC |
| Practice address | 1026 BAPTIST CIRCLE, SUITE 101, Madison, MS, 39110 |
| Phone | 6013532020 |
| Enumeration date | 2024-01-08 |
| Last updated in NPPES | 2025-06-13 |
Authorized official
| Name | Shane Humphries |
|---|---|
| Title | Practice Administrator |
| Phone | 6013532020 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207W00000X | Ophthalmology Physician | Secondary | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Jea Surgical, LLC NPI: 1669242822 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 1026 BAPTIST CIRCLE, SUITE 101, Madison, MS, 39110
Verify this record
Cross-check NPI 1669242822 against the authoritative CMS record: view Jea Surgical, LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is the NPI number for Jea Surgical, LLC?
Who is the authorized official for Jea Surgical, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-13.