Organization Active NPI

Everest Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Midlothian, TX
National Provider Identifier
1679455190
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
EVEREST SURGERY CENTER, LLC
Practice address
2251 Freeman Lane
Suite 300
Midlothian, TX 76065
Phone
(469) 505-2020
Fax
(469) 505-2021
NPI assigned
Jul 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Mr. William Troy Grant
Title
VP of Operations
Phone
(469) 505-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2251 Freeman Lane
Suite 300
Midlothian, TX 76065

Mailing address

2251 Freeman LN
Midlothian, TX 76065-4116
Phone (469) 505-2020

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
45D2330961Everest Surgery Center2251 Freeman Lane Suite 300, Midlothian, TX 76065Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory

Locations

2251 Freeman Ln
Midlothian, TX 76065

2251 Freeman Ln
Ste 300
Midlothian, TX 76065
Phone (469) 505-2020

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1679455190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 FREEMAN LN",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760654116",
            "telephone_number": "469-505-2020",
            "fax_number": "469-505-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 FREEMAN LANE",
            "address_2": "SUITE 300",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "76065",
            "telephone_number": "469-505-2020",
            "fax_number": "469-505-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "469-505-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.