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Jea Surgical, LLC

Ambulatory Surgical Clinic/Center in Madison, MS · enumerated 2024 · authorized official Shane Humphries, Practice Administrator.

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

National Provider Identifier

1669242822

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Registry record

Entity type Organization (Type 2)
Legal business name Jea Surgical, LLC
Practice address 1026 Baptist Circle, Suite 101, Madison, MS, 39110
Enumeration date Jan 8, 2024
Last updated in NPPES Jun 13, 2025

Taxonomy & classification

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Secondary
261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Shane Humphries
Title Practice Administrator

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.

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Frequently asked questions

What is the NPI number for Jea Surgical, LLC?
The NPI for Jea Surgical, LLC is 1669242822, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Jea Surgical, LLC?
NPPES lists Shane Humphries (Practice Administrator) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-13.