NORTH FLORIDA SURGICAL ASSOCIATES LLC – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1982688628
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for NORTH FLORIDA SURGICAL ASSOCIATES LLC
1121, Northwest 64th Terrace, Durant Estates, City of Gainesville Municipal Boundaries, Alachua County, Florida, 32605, United States
SUITE B
GAINESVILLE, FL 326054243
Phone: (352) 331-3583
Fax: (352) 331-3669
Type: Location
2000 HEALTH PARK DR
BRENTWOOD, TN 370274525
Phone: (615) 372-5426
Fax: (866) 831-4898
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-11-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (952 days ago).
Enrollment records
1
Earliest due date
2023-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20051130000758 | O | Clinic/Group Practice | FL | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32605)
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