Active NPI
Rockledge FL Endoscopy ASC LLC
- Ambulatory Surgical Clinic/Center
- Rockledge, FL
National Provider Identifier
1124092945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 1229
- Legal business name
- ROCKLEDGE FL ENDOSCOPY ASC LLC
- Practice address
- 1974 Rockledge Blvd Ste 102
Rockledge, FL 32955-3756 - Phone
- (321) 504-4440
- Fax
- (321) 504-4470
- NPI assigned
- Feb 16, 2006
- 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
- Mr. Jeffrey Snodgrass
- Title
- President
- Phone
- (615) 665-1283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 1229 | FL | Primary |
Addresses
Primary practice location
1974 Rockledge Blvd Ste 102
Rockledge, FL 32955-3756
Mailing address
1A Burton Hills Blvd Ste 300
Nashville, TN 37215-6153
Phone (615) 240-3820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0759848-00 | Medicaid | FL |
Other names 1
- Space Coast Endoscopy 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 |
|---|---|---|---|---|
| O20050520000057 | FL | Part B Supplier - Ambulatory Surgical Center | 0143261065 | Practice locations: Rockledge, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Rockledge FL Endoscopy ASC LLC
- 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 |
|---|---|---|---|
| 10D1037887 | Space Coast Endoscopy Center | Certificate of waiver | Mar 6, 2027 |
National Provider Directory
National Provider DirectoryNetworks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Titusville, FL
- NPI 1831266089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762905600000",
"number": "1124092945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1A BURTON HILLS BLVD STE 300",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372156153",
"telephone_number": "615-240-3820",
"fax_number": "615-234-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1974 ROCKLEDGE BLVD STE 102",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553756",
"telephone_number": "321-504-4440",
"fax_number": "321-504-4470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKLEDGE FL ENDOSCOPY ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-16",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A",
"authorized_official_last_name": "SNODGRASS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-665-1283",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": "1229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0759848-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Space Coast Endoscopy Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Space Coast Endoscopy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.