Active NPI
Northwest Florida Surgical Center, LLC
Doing business as North Florida Surgery Center
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
National Provider Identifier
1033113402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- ASC0000842
- Legal business name
- NORTHWEST FLORIDA SURGICAL CENTER, LLC
- Doing business as
- North Florida Surgery Center
- Practice address
- 4600 N Davis Hwy
Pensacola, FL 32503 - Phone
- (850) 494-0048
- Fax
- (850) 494-0065
- NPI assigned
- Jun 13, 2005
- Last updated
- Jan 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Tipton McKnight, MD
- Title
- Medical Director/ Officer
- Phone
- (850) 494-0048
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ASC0000842 | FL | Primary |
Addresses
Primary practice location
4600 N Davis Hwy
Pensacola, FL 32503
Mailing address
4600 N Davis Hwy
Pensacola, FL 32503-2337
Phone (850) 494-0048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ASC0000842 | Other | FL | STATE LISCENCE NUMBER |
Other names 1
- North Florida Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120424000695 | FL | Part B Supplier - Ambulatory Surgical Center | 7810159670 | Practice locations: Pensacola, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Northwest Florida Surgical Center Inc Dba North Florida Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0900861 | North Florida Surgery Center | Certificate of waiver | May 9, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Pensacola, FL
- NPI 1750377255
-
- Neurological Surgery Physician
- Pensacola, FL
- NPI 1649254855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705449600000",
"number": "1033113402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032337",
"telephone_number": "850-494-0048",
"fax_number": "850-494-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32503",
"telephone_number": "850-494-0048",
"fax_number": "850-494-0065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST FLORIDA SURGICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-13",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A",
"authorized_official_last_name": "MCKNIGHT",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "TIPTON",
"authorized_official_title_or_position": "MEDICAL DIRECTOR/ OFFICER",
"authorized_official_telephone_number": "850-494-0048",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": "ASC0000842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISCENCE NUMBER",
"identifier": "ASC0000842",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Florida Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "North Florida Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pensacola, FL
- Northwest Florida Heart Group PA
- Northwest Florida Oral and Maxillofacial Surgery, P.a.
- Northwest Florida Oral and Maxillofacial Surgery, PA
- Northwest Florida Pathology LLC
- Northwest Florida Physicians Group, LLC
- Naomi Kirkland Norton, D.M.D.
- Nova Millennium Healthcare, LLC
- Novo Plastic Surgery LLC
- Elizabeth Marie Nowak
- Tanzina Nowrin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.