Palmetto Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASF 046 Issued in SC

Legal business name

PALMETTO SURGERY CENTER LLC

Practice address

109 Blarney Dr
Columbia, SC 29223-6244

Phone

(803) 865-8200

Fax

(803) 419-7910

NPI assigned

Aug 16, 2005

Last updated

Feb 12, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alan Brill, M.D.

Title

Managing Owner

Phone

(803) 865-8200

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

Palmetto Surgery Center LLCCCN 42C0001031

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fred T Garner, MD

  • Pediatric Otolaryngology Physician
  • Columbia, SC
  • NPI 1124092630
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1073505038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BLARNEY DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236244",
            "telephone_number": "803-865-8200",
            "fax_number": "803-419-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BLARNEY DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236244",
            "telephone_number": "803-865-8200",
            "fax_number": "803-419-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "BRILL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "803-865-8200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": "ASF 046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHEC LICENSE NUMBER",
            "identifier": "ASF 046",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC 024",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Southern Comfort Home Care
• Palmetto Specialty Long Term Care
• Palmetto Speech Language Literacy Group, LLC
• Palmetto Spinal Center, LLC
• Palmetto State Eyecare, LLC
• Palmetto Surgical Associates PA
• Palmetto Surgical Consultants Association,Inc.
• Palmland Community Services (PCS Home Health Services)
• Renatta Nicole Palmore, NP
• Dana Lynn Panas

• Ambulatory Surgical Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.