Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Surgery Clinic, LLC

Organization Surgery Physician · NPI 1780068460

Surgery Clinic, LLC is a Surgery Physician in Jacksonville, Alabama. Licensed in Alabama. Registered with an NPI since 2015.

Licensed in
AL
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1622 Church Ave SE
Jacksonville, AL 36265-3200
Phone: (256) 547-6331
Fax: (256) 547-1711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X (AL)

Record details

NPI number1780068460
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSurgery Clinic, LLC
Authorized official Dianette Keener — Billing Manager · (256) 547-6331
Other names Surgery Clinic, Llc - Jacksonville
NPI enumeratedJuly 13, 2015
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021
Mailing address419 S 5th St, Gadsden, AL 35901-5101