Gulf Coast Plastic Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GULF COAST PLASTIC SURGERY CENTER, LLC

Practice address

539 Fontaine St
Pensacola, FL 32503-2018

Phone

(850) 476-3440

Fax

(850) 741-5099

NPI assigned

Dec 20, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Peter N Butler, MDNPI 1588608665

Title

Owner/Plastic Surgeon

Phone

(850) 476-3223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Ambulatory surgical center certification: CCN 10C0001773

Legal name

GULF COAST PLASTIC SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 19, 2025

Last certification

Feb 12, 2025

Ownership / control type

Proprietary

Facility address

539 Fontaine Street
Pensacola, FL 32503

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

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jocelyn E Leveque, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Pensacola, FL
  • NPI 1184664310
  Medicare reassignment NPD
• Nathan W. Patterson, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Pensacola, FL
  • NPI 1952341190
  Medicare reassignment NPD
• Samantha Kam Patterson, CRNA

  • Certified Registered Nurse Anesthetist
  • Pensacola, FL
  • NPI 1073954681
  Medicare reassignment NPD
• Peter N Butler, M.D.

  • Specialist
  • Pensacola, FL
  • NPI 1588608665
  NPD Authorized official
• Benjamin Jacob Brown, MD

  • Plastic Surgery Physician
  • Pensacola, FL
  • NPI 1962636993
  NPD (past)
• Cheryl Sandoski Jones, M.D.

  • Dermatology Physician
  • Pensacola, FL
  • NPI 1588600795
  NPD (past)
• Anna-Cherie D Levert, PA-C

  • Medical Physician Assistant
  • Pensacola, FL
  • NPI 1639541204
  NPD (past)
• Sherri Brewer Peete, PA-C

  • Surgical Physician Assistant
  • Pensacola, FL
  • NPI 1497112270
  NPD (past)

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1477322345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 FONTAINE ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032018",
            "telephone_number": "850-476-3440",
            "fax_number": "850-741-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 FONTAINE ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032018",
            "telephone_number": "850-476-3440",
            "fax_number": "850-741-5099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "543 Fontaine St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032058",
            "country_code": "US",
            "telephone_number": "850-476-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GULF COAST PLASTIC SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/PLASTIC SURGEON",
        "authorized_official_telephone_number": "850-476-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Orthopedic Specialists PA
• Gulf Coast Pain Consultants LLC
• Gulf Coast Pain Consultants LLC
• Gulf Coast Pain Consultants PLLC
• Gulf Coast Pelvic Health LLC
• Gulf Coast Podiatry of Northwest Florida PA
• Gulf Coast Radiation and Radiosurgery, LLC
• Gulf Coast Speech Language Services, PLLC
• Gulf Coast Surgical Oncology PL
• Gulf Coast Therapy and Counseling, LLC

• Ambulatory Surgical Clinic/Center in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.