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SEASIDE SURGICAL, LLC
NPI 1780820381
Clinic/Center - Ophthalmologic Surgery in Brunswick, GA

Active since January 02, 2009CLIA 11D1092528 · Waiver
3303B GLYNN AVE, BRUNSWICK, GA 31520(912) 466-9500(912) 466-9922 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 4, 2025, Mar 14, 2023, Feb 16, 2023 (3 updates tracked since 2023).

About Seaside Surgical, Llc NPPES

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

SEASIDE SURGICAL, LLC (NPI 1780820381) is a healthcare organization registered as an ophthalmologic surgery in Brunswick, Georgia and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through November 25, 2026 and lists Lisa J Clark, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1780820381
Entity TypeOrganization
Primary Taxonomy261QS0132X
Legal Business NameSEASIDE SURGICAL, LLC
Location Address3303B GLYNN AVEBrunswick, GA 31520-4406
Mailing Address3303b Glynn AveBrunswick, GA 31520-4406 · (912) 466-9500 · Fax (912) 466-9922
Phone(912) 466-9500
Fax(912) 466-9922
Organization SubpartNo
Authorized OfficialLisa J ClarkOffice Manager · (912) 466-9500
Enumeration DateJanuary 2, 2009
Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1780820381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ophthalmologic SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0132X
3303B GLYNN AVE, Brunswick, GA 31520
Open in Google Maps ↗

Other Identifiers 2

Medicaid833908673AGA
Other11C0001332GA · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seaside Surgical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Seaside Surgical, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Elizabeth Crandall, MD
Ophthalmology
NPI 1023266442
136 W. CHERRY ST
Jesup, GA 31545
(912) 559-2467
✔ PECOS✔ Accepts Medicare38 mi
Jackie Johnson, MD
Ophthalmology
NPI 1679707541
216 CORDER RD
Warner Robins, GA 31088
(478) 923-5872
✔ PECOS✔ Accepts Medicare162 mi

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 11D1092528

Seaside Surgical LLC · Brunswick, GA
Active · expires Nov 25, 2026
CLIA Number11D1092528
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorBonnie J. Brooks
Laboratory Phone(912) 466-9500
Laboratory LocationSeaside Surgical LLC3303 B Glynn Avenue, Brunswick, GA 31520
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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.

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
2,652 services368 patients
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.
706 services390 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
435 services296 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
110 services76 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
48 services28 patients
Removal of growth of eyelid 67840
The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.
35 services30 patients

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 Seaside Surgical, LLC's NPI number?

The NPI number for Seaside Surgical, LLC is 1780820381. It was assigned to this organization in the NPPES registry on January 2, 2009.

Where is Seaside Surgical, LLC located?

Seaside Surgical, LLC is located at 3303B Glynn Ave, Brunswick, GA 31520. The listed phone number is (912) 466-9500.

What is Seaside Surgical, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ophthalmologic Surgery, with taxonomy code 261QS0132X.

Is Seaside Surgical, LLC enrolled in Medicare?

Yes. Seaside Surgical, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Seaside Surgical, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Seaside Surgical, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Seaside Surgical, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1092528) is associated with this NPI, valid through November 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Seaside Surgical, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Seaside Surgical, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Seaside Surgical, LLC was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.