Active NPI
Southern Kentucky Surgicenter, LLC
Doing business as Greenview Surgery Center
- Ambulatory Surgical Clinic/Center
- Bowling Green, KY
National Provider Identifier
1063999662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SOUTHERN KENTUCKY SURGICENTER, LLC
- Doing business as
- Greenview Surgery Center
- Practice address
- 484 Golden Autumn Way
Suite 100
Bowling Green, KY 42103 - Phone
- (270) 938-6500
- NPI assigned
- Jul 26, 2018
- Last updated
- Sep 8, 2026
- 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
- David McKnight
- Title
- VP/Cfo
- Phone
- (972) 789-2816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
484 Golden Autumn Way
Suite 100
Bowling Green, KY 42103
Mailing address
484 Golden Autumn Way Ste 100
Bowling Green, KY 42103-6914
Other names 1
- Greenview Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181102000793 | KY | Part B Supplier - Ambulatory Surgical Center | 1052664398 | Practice locations: Bowling Green, KY |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Southern Kentucky Surgicenter LLC Dba Greenview 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 |
|---|---|---|---|
| 18D2156338 | Greenview Surgery Center | Certificate of waiver | Oct 15, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Tristar Greenview Regional Hospital
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1871547703
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1063999662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 GOLDEN AUTUMN WAY STE 100",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421036914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 GOLDEN AUTUMN WAY",
"address_2": "SUITE 100",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "42103",
"telephone_number": "270-938-6500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN KENTUCKY SURGICENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-26",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "MCKNIGHT",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "VP/CFO",
"authorized_official_telephone_number": "972-789-2816"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Greenview Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Greenview Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bowling Green, KY
- Southern Kentucky Mobile Medical Services (Soky MMS)
- Southern Kentucky Nephrology Associates PSC
- Southern Kentucky Oral Surgery Associates PLLC
- Southern Kentucky Speech Therapy
- Southern Kentucky Surgical, PLLC (Southern Kentucky Endoscopy Center)
- Southern Kentucky Urology LLC
- Southern Ky Nephrology
- Kara Southwood
- Brittany Leigh Sowders, APRN
- Alexandria Tate Sowell, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.