Organization Active NPI

Red Hills Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1255634044
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
RED HILLS SURGICAL CENTER, LLC
Practice address
1608 Surgeons Dr
Tallahassee, FL 32308-4631
Phone
(850) 431-7402
NPI assigned
Dec 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Mrs. Debbie Brotherton Shapiro
Title
Chief Operating Officer
Phone
(850) 431-7402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1608 Surgeons Dr
Tallahassee, FL 32308-4631

Mailing address

1608 Surgeons Dr
Tallahassee, FL 32308-4631
Phone (850) 431-7402

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110506000611 FL Part B Supplier - Ambulatory Surgical Center 6901081975 Practice locations: Tallahassee, FL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Red Hills Surgical Center LLCCCN 10C0001561
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2018906Red Hills Surgical Center1608 Surgeons Dr, Tallahassee, FL 32308Certificate of waiverJan 18, 2027

National Provider Directory

National Provider Directory

Locations

1608 Surgeons Dr
Tallahassee, FL 32308
Phone (850) 431-6200

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1255634044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SURGEONS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084631",
            "telephone_number": "850-431-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 SURGEONS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084631",
            "telephone_number": "850-431-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED HILLS SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "BROTHERTON",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "850-431-7402",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.

Verify at the official NPI Registry.