NPIMap

Organization Active NPI

Advanced Surgery Center of Tallahassee, LLC

  • Ambulatory Surgical Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1205658754
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ADVANCED SURGERY CENTER OF TALLAHASSEE, LLC
Practice address
2535 Capital Medical Blvd Ste 101
Tallahassee, FL 32308-4674
Phone
(448) 230-2311
NPI assigned
Oct 28, 2024
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joy Williams, RN
Title
Administrator/Clinical Director
Phone
(448) 230-2311

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary
Multi-Specialty Clinic/Center 261QM1300X
Ophthalmologic Surgery Clinic/Center 261QS0132X
Anesthesiology Physician 207L00000X

Addresses

Primary practice location

2535 Capital Medical Blvd Ste 101
Tallahassee, FL 32308-4674

Mailing address

2535 Capital Medical Blvd Ste 101
Tallahassee, FL 32308-4674
Phone (448) 230-2311

Other names 1

  • Advanced Surgery Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250801002904 FL Part B Supplier - Ambulatory Surgical Center 6305354275 Receives reassigned benefits from 10 practitioners
Practice locations: Tallahassee, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205658754. Details of each certification follow.

Ambulatory surgical center certification: CCN 10C0001766

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ADVANCED SURGERY CENTER OF TALLAHASSEE
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
May 15, 2025
Last certification
May 14, 2025
Facility address
2535 Capital Medical Blvd, Ste 101
Tallahassee, FL 32308

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Advanced Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2535 Capital Medical Blvd
Ste 400
Tallahassee, FL 32308
Phone (448) 230-2311

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1205658754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 CAPITAL MEDICAL BLVD STE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084674",
            "telephone_number": "448-230-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 CAPITAL MEDICAL BLVD STE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084674",
            "telephone_number": "448-230-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGERY CENTER OF TALLAHASSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "ADMINISTRATOR/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "448-230-2311",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Surgery Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Advanced Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.