Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jefferson Surgery Center Pllc

Ambulatory Surgical Clinic/Center in Pine Bluff, AR · enumerated 2006 · authorized official Crystal Bohannan, Administrator.

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

National Provider Identifier

1710934542

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Jefferson Surgery Center Pllc

Other name <Unavail>

Practice address 1609 W 40th Ave, Jrmc Professional Center, Suite 103, Pine Bluff, AR, 71603

Phone (870) 541-3636

Fax (870) 541-3639

Enumeration date May 27, 2006

Last updated in NPPES Aug 26, 2008

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License AR3637 (AR) Primary

Authorized official

Name Crystal Bohannan

Title Administrator

Phone (870) 541-3640

Other identifiers

Identifier	Type	State	Issuer
135346128	Medicaid	AR	-

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

Where is Jefferson Surgery Center Pllc located?

The practice location on file with NPPES is in Pine Bluff, AR.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-08-26. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-26.