SUREPOINT EMERGENCY CENTER NORTH FORT WORTH BEACH
NPI 1285252593
Emergency Medicine in Fort Worth, TX

Active since July 13, 2020CLIA 45D2069429 · Accreditation
4551 WESTERN CENTER BLVD, FORT WORTH, TX 76137(817) 428-4055(817) 428-4054 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2024, May 15, 2023, Jul 19, 2022 and 3 more (6 updates tracked since 2020).

About Surepoint Emergency Center North Fort Worth Beach NPPES

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

SUREPOINT EMERGENCY CENTER NORTH FORT WORTH BEACH (NPI 1285252593) is a healthcare organization registered as an emergency medicine in Fort Worth, Texas and active in the NPI registry since July 2020. The organization holds an CLIA Accreditation certificate valid through January 22, 2028 and lists Michelle Newsom, President, as its authorized official.

NPPES Registry Identity

NPI1285252593
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameEMER NORTH FORT WORTH BEACH, LLC
Location Address4551 WESTERN CENTER BLVDFort Worth, TX 76137-2628
Mailing Address2300 Matlock Rd Ste 35Mansfield, TX 76063-5018 · (469) 830-8200 · Fax (469) 830-8201
Fax(817) 428-4054
Organization SubpartNo
Authorized OfficialMichelle NewsomPresident · (469) 830-8200
Enumeration DateJuly 13, 2020
Last NPPES UpdateSeptember 26, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
NPI 1285252593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4551 WESTERN CENTER BLVD, Fort Worth, TX 76137

Other Names 1

Doing Business AsSurepoint Emergency Center North Fort Worth Beach

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Accreditation 45D2069429

Surepoint Emergency Center North Fort Worth Beach · Fort Worth, TX
Active · expires Jan 22, 2028
CLIA Number45D2069429
Laboratory TypeFree Standing ER
Certificate Effective DateJanuary 23, 2026
Certificate Expiration DateJanuary 22, 2028
Laboratory DirectorDr. Damalia Wilson
Laboratory Phone(817) 428-4055
Laboratory LocationSurepoint Emergency Center North Fort Worth Beach4551 Western Center Blvd, Fort Worth, TX 76137
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4551 WESTERN CENTER BLVD
FORT WORTH, TX 76137
Family Medicine
4551 WESTERN CENTER BLVD
FORT WORTH, TX 76137
Clinic/Center (Emergency Care)
4551 WESTERN CENTER BLVD
FORT WORTH, TX 76137
Emergency Medicine
4551 WESTERN CENTER BLVD
FORT WORTH, TX 76137
Family Medicine
4551 WESTERN CENTER BLVD
FORT WORTH, TX 76137

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 Emer North Fort Worth Beach, LLC's NPI number?

The NPI number for Emer North Fort Worth Beach, LLC is 1285252593. It was assigned to this organization in the NPPES registry on July 13, 2020. The provider is doing business as Surepoint Emergency Center North Fort Worth Beach.

Where is Emer North Fort Worth Beach, LLC located?

Emer North Fort Worth Beach, LLC is located at 4551 Western Center Blvd, Fort Worth, TX 76137. The listed phone number is (817) 428-4055.

What is Emer North Fort Worth Beach, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Does Emer North Fort Worth Beach, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2069429) is associated with this NPI, valid through January 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Emer North Fort Worth Beach, LLC was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.