# NOVAMED SURGERY CENTER OF JONESBORO, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Eye Surgery Center of Arkansas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710931134
- **Authorized official:** DONNA RENEE COLBERT (ADMINISTRATOR)
- **Authorized official phone:** (870) 935-6396

## Contact information

- **Practice address:** 601 E MATTHEWS AVE, JONESBORO, AR 72401-3145
- **Practice address phone:** (870) 935-6396
- **Practice address fax:** (870) 935-4063
- **Mailing address:** 601 E MATTHEWS AVE, JONESBORO, AR 72401-3145
- **Mailing address phone:** (870) 935-6396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 2436 | AR | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 01/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 163018128 | — | AR |
| 05 | — | 502611601 | — | MO |