GULF COAST PLASTIC SURGERY CENTER, LLC
NPI 1477322345
Clinic/Center - Ambulatory Surgical in Pensacola, FL
About Gulf Coast Plastic Surgery Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GULF COAST PLASTIC SURGERY CENTER, LLC (NPI 1477322345) is a healthcare organization registered as an ambulatory surgical in Pensacola, Florida and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through August 29, 2028, maintains a secondary practice location in Pensacola, and lists Peter N Butler, Owner/plastic Surgeon, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gulf Coast Plastic Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Gulf Coast Plastic Surgery Center, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 10D2310292
Gulf Coast Plastic Surgery Center LLC · Pensacola, FLFrequently 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 Gulf Coast Plastic Surgery Center, LLC's NPI number?
The NPI number for Gulf Coast Plastic Surgery Center, LLC is 1477322345. It was assigned to this organization in the NPPES registry on December 20, 2023.
Where is Gulf Coast Plastic Surgery Center, LLC located?
Gulf Coast Plastic Surgery Center, LLC is located at 539 Fontaine St, Pensacola, FL 32503. The listed phone number is (850) 476-3440.
What is Gulf Coast Plastic Surgery Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Gulf Coast Plastic Surgery Center, LLC enrolled in Medicare?
Yes. Gulf Coast Plastic Surgery Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gulf Coast Plastic Surgery Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Gulf Coast Plastic Surgery Center, LLC, in Certified Registered Nurse Anesthetist (CRNA) and Plastic and Reconstructive Surgery. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gulf Coast Plastic Surgery Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2310292) is associated with this NPI, valid through August 29, 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 Gulf Coast Plastic Surgery Center, LLC was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Gulf Coast Plastic Surgery Center, Llc · NPI 1477322345
Ambulatory Surgical organization in Pensacola, Florida. Organization record, active in the CMS NPPES registry since December 20, 2023.
## Identity
- **NPI:** 1477322345 (Entity type: Organization)
- **Enumerated:** December 20, 2023
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Peter Butler, OWNER/PLASTIC SURGEON
## Practice location
- **Address:** 539 FONTAINE ST, Pensacola, FL 32503-2018
- **Phone:** (850) 476-3440 · **Fax:** (850) 741-5099
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (2), Plastic and Reconstructive Surgery (2); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477322345) · Data from the CMS NPPES public registry.