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WESTSIDE SURGERY CENTER, LLC
NPI 1013158948
Clinic/Center - Ambulatory Surgical in Douglas, GA

Active since March 24, 2009CLIA 11D1097239 · Waiver
314 WESTSIDE DRIVE, DOUGLAS, GA 31533(912) 384-2200(912) 383-7992 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Westside Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTSIDE SURGERY CENTER, LLC (NPI 1013158948) is a healthcare organization registered as an ambulatory surgical in Douglas, Georgia and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Amber Patterson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1013158948
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWESTSIDE SURGERY CENTER, LLC
Location Address314 WESTSIDE DRIVEDouglas, GA 31533-0314
Mailing AddressP.o. Box 1068Douglas, GA 31533-1068 · (912) 384-2200 · Fax (912) 383-7992
Phone(912) 384-2200
Fax(912) 383-7992
Organization SubpartNo
Authorized OfficialAmber PattersonAdministrator · (912) 384-2200
Enumeration DateMarch 24, 2009
Last NPPES UpdateJuly 16, 2020
NPPES CertifiedJuly 16, 2020
✔ NPI 1013158948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
314 WESTSIDE DRIVE, Douglas, GA 31533
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Other Identifiers 1

Medicaid794275173AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Westside Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Westside Surgery Center, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Thomas Guffin, M.D.
Otolaryngology
NPI 1174603112
1800 PEACHTREE STREET, NW SUITE 700
Atlanta, GA 30309
(404) 350-7966
✔ PECOS181 mi
Richard Pollock, MD
Otolaryngology
NPI 1386609220
400 NASH MEDICAL ARTS MALL
Rocky Mount, NC 27804
(252) 962-5300
✔ PECOS✔ Accepts Medicare422 mi
David Martini, M.D., P.A.
Otolaryngology
NPI 1235170572
701 E ROSSER AVE
Bismarck, ND 58501
(701) 323-8550
✔ PECOS✔ Accepts Medicare1,422 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1097239

Westside Surgery Center · Douglas, GA
Active · expires Sep 11, 2027
CLIA Number11D1097239
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorGeorge H. Livermore III
Laboratory Phone(912) 384-2200
Laboratory LocationWestside Surgery Center314 Westside Drive, Douglas, GA 31533
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Incision of eardrum with placement of eardrum tube under general anesthesia 69436
This procedure involves making a small cut in the eardrum to drain fluid and alleviate pressure. A tiny tube is then inserted to keep the hole open and prevent further fluid buildup. General anesthesia is used to ensure patient comfort.
23 services12 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Westside Surgery Center, LLC's NPI number?

The NPI number for Westside Surgery Center, LLC is 1013158948. It was assigned to this organization in the NPPES registry on March 24, 2009.

Where is Westside Surgery Center, LLC located?

Westside Surgery Center, LLC is located at 314 Westside Drive, Douglas, GA 31533. The listed phone number is (912) 384-2200.

What is Westside Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Westside Surgery Center, LLC enrolled in Medicare?

Yes. Westside Surgery Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Westside Surgery Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Otolaryngology, reassign their Medicare billing to Westside Surgery Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Westside Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1097239) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Westside Surgery Center, LLC accept?

Health plans from Alliant Health Plans, Inc. list Westside Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Westside Surgery Center, LLC was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.