BEACHES FACIAL AND NASAL SURGERY CENTER
NPI 1639360258
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Jacksonville Beach, FL

Active since August 08, 2007
1361 13TH AVE S STE 125, JACKSONVILLE BEACH, FL 32250(904) 249-2580 Get Directions Write a Review

NPPES record last updated: February 14, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Beaches Facial And Nasal Surgery Center NPPES

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

BEACHES FACIAL AND NASAL SURGERY CENTER (NPI 1639360258) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Jacksonville Beach, Florida and active in the NPI registry since August 2007. The organization lists Scott J Trimas, Owner, as its authorized official.

NPPES Registry Identity

NPI1639360258
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameBEACHES FACIAL AND NASAL SURGERY CENTER
Location Address1361 13TH AVE S STE 125Jacksonville Beach, FL 32250-3260
Mailing Address1361 13th Ave S Ste 125Jacksonville Beach, FL 32250-3260 · (904) 249-2580
Organization SubpartNo
Authorized OfficialScott J TrimasOwner · (904) 249-2580
Enumeration DateAugust 8, 2007
Last NPPES UpdateFebruary 14, 2011
✔ NPI 1639360258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
1361 13TH AVE S STE 125, Jacksonville Beach, FL 32250

Other Identifiers 1

Medicare PINK2283FL

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beaches Facial And Nasal Surgery Center 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 Beaches Facial And Nasal Surgery Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Otolaryngology
NPI 1568967206
1361 13TH AVE S STE 125
Jacksonville, FL 32250
(904) 249-2580
✔ PECOSSame address
Plastic and Reconstructive Surgery
NPI 1881784841
1361 13TH AVE SOUTH STE 125
Jacksonville, FL 32250
(904) 249-2580
✔ PECOS✔ Accepts Medicare0.1 mi
Plastic and Reconstructive Surgery
NPI 1336521012
1010 S FEDERAL HWY STE 1010
Delray Beach, FL 33483
(561) 331-6959
✔ PECOS✔ Accepts Medicare276 mi

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

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 Beaches Facial And Nasal Surgery Center's NPI number?

The NPI number for Beaches Facial And Nasal Surgery Center is 1639360258. It was assigned to this organization in the NPPES registry on August 8, 2007.

Where is Beaches Facial And Nasal Surgery Center located?

Beaches Facial And Nasal Surgery Center is located at 1361 13th Ave S Ste 125, Jacksonville Beach, FL 32250. The listed phone number is (904) 249-2580.

What is Beaches Facial And Nasal Surgery Center's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Beaches Facial And Nasal Surgery Center enrolled in Medicare?

Yes. Beaches Facial And Nasal Surgery Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beaches Facial And Nasal Surgery Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Beaches Facial And Nasal Surgery Center, in Otolaryngology 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beaches Facial And Nasal Surgery Center was last updated on February 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.