Coastal Tides Surgical Center, LLC
NPI 1609616291 · Ambulatory Surgical Clinic/Center · Panama City Beach, FL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Tides Surgical Center, LLC is a Ambulatory Surgical Clinic/Center organization in Panama City Beach, FL (NPI 1609616291).
Provider details
- NPI number
- 1609616291
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Stannard, Administrator(850) 509-7567
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-05-30
- Last updated
- 2024-05-30
- Certified
- 2024-05-13
Frequently asked questions
- What is Coastal Tides Surgical Center, LLC's NPI number?
- Coastal Tides Surgical Center, LLC's National Provider Identifier (NPI) is 1609616291, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Tides Surgical Center, LLC?
- Coastal Tides Surgical Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coastal Tides Surgical Center, LLC located?
- Coastal Tides Surgical Center, LLC's practice location on file with NPPES is 1002 N Arnold Road, Panama City Beach, FL 32413.
- What is Coastal Tides Surgical Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Tides Surgical Center, LLC is (850) 509-7567.
- Does Coastal Tides Surgical Center, LLC accept Medicare?
- Coastal Tides Surgical Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Coastal Tides Surgical Center, LLC?
- The authorized official listed on Coastal Tides Surgical Center, LLC's NPPES record is Daniel Stannard, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Tides Surgical Center, LLC's NPI active?
- Yes — Coastal Tides Surgical Center, LLC's NPI (1609616291) is active in the NPPES registry as of the last update on 2024-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.