SOUTHPARK SURGERY CENTER
NPI 1811940141
Clinic/Center - Ambulatory Surgical in Charlotte, NC

Q: What is Southpark Surgery Center LLC's NPI number?

The NPI number for Southpark Surgery Center LLC is 1811940141. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Southpark Surgery Center.

Q: What is Southpark Surgery Center LLC's specialty?

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

Active since May 18, 2006

6035 FAIRVIEW RD, STE 300, CHARLOTTE, NC 28210(704) 295-3000 Get Directions Write a Review

NPPES record last updated: October 26, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Southpark Surgery Center NPPES

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

SOUTHPARK SURGERY CENTER (NPI 1811940141) is a healthcare organization registered as an ambulatory surgical in Charlotte, North Carolina and active in the NPI registry since May 2006. The organization lists Fred M Hargett, Evp Cfo, as its authorized official.

NPPES Registry Identity

NPI1811940141

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSOUTHPARK SURGERY CENTER LLC

Location Address6035 FAIRVIEW RD, STE 300Charlotte, NC 28210-3256

Mailing Address2085 Frontis Plaza BlvdWinston-salem, NC 27103-5614 · (336) 277-7226 · Fax (336) 277-9795

Phone(704) 295-3000

Organization SubpartNo

Authorized OfficialFred M HargettEvp Cfo · (704) 384-5184

Enumeration DateMay 18, 2006

Last NPPES UpdateOctober 26, 2010

✔ NPI 1811940141 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 NC · AS0032

6035 FAIRVIEW RD, Charlotte, NC 28210

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Other Names 1

Doing Business AsSouthpark Surgery Center

Other Identifiers 1

Medicare ID-Type Unspecified2380887

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southpark Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNorth CarolinaEnrollment IDO20050502000174Non-DME Part B · Ambulatory Surgical CenterDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southpark Surgery Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tiffany Bratina, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1447495890

200 HAWTHORNE LN
Charlotte, NC 28204

(704) 384-4239

4.2 mi

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

Areas of Expertise CMS Part B claims 16

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.

1,861 services1,144 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

123 services63 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

101 services81 patients

Repair of brow paralysis 67900

Repair of brow paralysis is a procedure aimed to restore function and symmetry to the face. This is achieved by adjusting muscles and nerves in the brow area. It can help improve the appearance and movement of the forehead and eyebrows, enhancing overall facial expressions.

86 services45 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

79 services43 patients

Removal of nasal air passage under lining tissue 30140

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

76 services40 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.

55 services41 patients

Transplantation of outer layer of corneal tissue 65756

The transplantation of the outer layer of corneal tissue is a procedure to replace damaged or diseased corneal tissue with healthy tissue from a donor. This can improve vision and alleviate pain or discomfort.

35 services29 patients

Processing, preserving and transporting corneal tissue V2785

Processing, preserving, and transporting corneal tissue involve careful steps to ensure its viability for transplantation. The tissue is first cleaned, then preserved in a special solution. It's packed in a temperature-controlled container for safe transport to its destination.

33 services30 patients

Removal of nasal sinus tissue using an endoscope 31267

This procedure, known as endoscopic sinus surgery, involves using a thin, flexible tube with a light and camera to view and remove problematic nasal sinus tissue. It helps to alleviate sinus issues and improve breathing.

32 services23 patients

Reshaping of nasal cartilage 30520

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

23 services23 patients

Exploration of nasal sinus using an endoscope 31276

Exploration of the nasal sinus using an endoscope is a procedure where a thin, flexible tube with a light and camera attached is inserted into the nose. This allows the doctor to view and examine the sinuses in detail, aiding in the diagnosis and treatment of sinus issues.

20 services13 patients

Realignment of horizontal eye muscle 67311

Realignment of horizontal eye muscle is a surgical procedure to correct strabismus, a condition where your eyes don't align properly. The surgeon adjusts the muscles that control eye movement, improving coordination and focus. This helps to restore normal eye alignment and functioning.

14 services12 patients

Realignment of eye by repair of 2 horizontal muscles 67312

This procedure involves adjusting two horizontal muscles in your eye to improve alignment. It's like a tune-up for your eyes, helping them to work together better. This can correct issues like crossed or misaligned eyes, improving your vision and eye comfort.

13 services13 patients

Removal or relocation of corneal conjunctiva with graft 65426

This procedure involves the removal or relocation of the conjunctiva, a thin layer covering the white part of your eye, and replacing it with a graft. This is typically done to treat conditions affecting the eye's surface, improving comfort and vision.

12 services12 patients

Dilation of fluid outflow drainage within eye 66174

Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.

12 services11 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 Southpark Surgery Center LLC's NPI number?

The NPI number for Southpark Surgery Center LLC is 1811940141. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Southpark Surgery Center.

Where is Southpark Surgery Center LLC located?

Southpark Surgery Center LLC is located at 6035 Fairview Rd Ste 300, Charlotte, NC 28210. The listed phone number is (704) 295-3000.

What is Southpark Surgery Center LLC's specialty?

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

Is Southpark Surgery Center LLC enrolled in Medicare?

Yes. Southpark Surgery Center LLC is registered in the Medicare PECOS enrollment system.

When is Southpark Surgery Center LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Ambulatory Surgical Center) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Southpark Surgery Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Southpark Surgery Center 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.

What insurance does Southpark Surgery Center LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Southpark Surgery Center 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 Southpark Surgery Center LLC was last updated on October 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.