PHYSICIANS' SURGERY CENTER OF TIDEWATER, LLC
NPI 1699818237
Clinic/Center - Ambulatory Surgical in Virginia Beach, VA

Active since February 14, 2007CLIA 49D1067320 · Waiver
828 HEALTHY WAY STE 115, VIRGINIA BEACH, VA 23462(757) 495-8070(757) 495-8074 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 18, 2024, Aug 22, 2024, May 8, 2018 (3 updates tracked since 2018).

About Physicians' Surgery Center Of Tidewater, Llc NPPES

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

PHYSICIANS' SURGERY CENTER OF TIDEWATER, LLC (NPI 1699818237), doing business as Physicians' Surgery Center Of Tidewater, is a healthcare organization registered as an ambulatory surgical in Virginia Beach, Virginia and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through April 15, 2027 and lists William Scott Montgomery, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1699818237
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePHYSICIANS' SURGERY CENTER OF TIDEWATER, LLC
Location Address828 HEALTHY WAY STE 115Virginia Beach, VA 23462-7958
Mailing Address828 Healthy Way, Ste 115Virginia Beach, VA 23462-7958 · (757) 495-8070 · Fax (757) 495-8074
Fax(757) 495-8074
Organization SubpartNo
Authorized OfficialWilliam Scott MontgomeryAuthorized Official · (757) 495-8070
Enumeration DateFebruary 14, 2007
Last NPPES UpdateOctober 31, 20253 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
NPI 1699818237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in VA · OH 708
828 HEALTHY WAY STE 115, Virginia Beach, VA 23462

Other Names 1

Doing Business AsPhysicians' Surgery Center Of Tidewater

Other Identifiers 1

OtherP00426243VA · Railroad Medicare

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 49D1067320

Physicians' Surgery Center Of Tidewater · Virginia Beach, VA
Active · expires Apr 15, 2027
CLIA Number49D1067320
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorMallory A. Damschroder
Laboratory Phone(757) 495-8070
Laboratory LocationPhysicians' Surgery Center Of Tidewater828 Healthy Way, Suite 115, Virginia Beach, VA 23462
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 19

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
514 services358 patients
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg J1096
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.
432 services86 patients
Removal of eye fluid (vitreous) between lens and retina 67036
This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.
65 services58 patients
Removal of membrane of retina with removal of internal limiting membrane of retina 67042
This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.
51 services49 patients
Imaging guidance for procedure, 60 minutes or less 76000
Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
45 services44 patients
Incision to improve eye fluid flow 65820
This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.
41 services28 patients

Other Providers at the Same Location NPPES

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

Anesthesiology
828 HEALTHY WAY STE 115
VIRGINIA BEACH, VA 23462

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 Physicians' Surgery Center Of Tidewater, LLC's NPI number?

The NPI number for Physicians' Surgery Center Of Tidewater, LLC is 1699818237. It was assigned to this organization in the NPPES registry on February 14, 2007. The provider is doing business as Physicians' Surgery Center of Tidewater.

Where is Physicians' Surgery Center Of Tidewater, LLC located?

Physicians' Surgery Center Of Tidewater, LLC is located at 828 Healthy Way Ste 115, Virginia Beach, VA 23462. The listed phone number is (757) 495-8070.

What is Physicians' Surgery Center Of Tidewater, LLC's specialty?

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

Does Physicians' Surgery Center Of Tidewater, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1067320) is associated with this NPI, valid through April 15, 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 Physicians' Surgery Center Of Tidewater, LLC was last updated on October 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.