SOUTH TAMPA SURGERY CENTER, LLC.
NPI 1124186663
Clinic/Center - Ambulatory Surgical in Tampa, FL
About South Tampa Surgery Center, Llc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH TAMPA SURGERY CENTER, LLC. (NPI 1124186663) is a healthcare organization registered as an ambulatory surgical in Tampa, Florida and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through February 4, 2027 and lists Stanley Robert Dennison, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Tampa Surgery Center, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to South Tampa Surgery Center, LLC., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Saint Petersburg, FL 33704
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 10D1009075
South Tampa Surgery Center · Tampa, FLAreas of Expertise CMS Part B claims 6
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.
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 South Tampa Surgery Center, LLC.'s NPI number?
The NPI number for South Tampa Surgery Center, LLC. is 1124186663. It was assigned to this organization in the NPPES registry on December 5, 2006.
Where is South Tampa Surgery Center, LLC. located?
South Tampa Surgery Center, LLC. is located at 3600 W Kennedy Blvd, Tampa, FL 33609. The listed phone number is (813) 873-8700.
What is South Tampa Surgery Center, LLC.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is South Tampa Surgery Center, LLC. enrolled in Medicare?
Yes. South Tampa Surgery Center, LLC. is registered in the Medicare PECOS enrollment system.
When is South Tampa Surgery Center, LLC.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Ambulatory Surgical Center) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through South Tampa Surgery Center, LLC.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to South Tampa Surgery Center, LLC., in Anesthesiology, Gastroenterology and Pain Management. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Tampa Surgery Center, LLC. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D1009075) is associated with this NPI, valid through February 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for South Tampa Surgery Center, LLC. was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# South Tampa Surgery Center, Llc. · NPI 1124186663
Ambulatory Surgical organization in Tampa, Florida. Organization record, active in the CMS NPPES registry since December 5, 2006.
## Identity
- **NPI:** 1124186663 (Entity type: Organization)
- **Enumerated:** December 5, 2006
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Stanley Dennison, PRESIDENT
## Practice location
- **Address:** 3600 W KENNEDY BLVD, Tampa, FL 33609-2802
- **Phone:** (813) 873-8700 · **Fax:** (813) 873-0101
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Florida, Ambulatory Surgical Center) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (2), Gastroenterology (1), Pain Management (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2011
- **Other identifiers:** Medicare ID-Type Unspecified F1403 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124186663) · Data from the CMS NPPES public registry.