PPCP Endoscopy LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PPCP ENDOSCOPY LLC

Doing business as

Nexton Procedure Center

Practice address

1235 Nexton Pkwy BLDG 4
Summerville, SC 29486-2935

Phone

(843) 814-8486

NPI assigned

Jun 1, 2023

Last updated

May 30, 2024By 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

Dr. Brett Van Leer Greenberg, MDNPI 1871911867

Title

Managing Partner

Phone

(917) 797-4297

Specialties & licenses 2

Addresses

Other names 1

• Nexton Procedure Center Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

PPCP Endoscopy LLC Dba Nexton Procedure CenterCCN 42C0001111

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 4

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.

• Brett Daniel Van Leer-Greenberg, M.D.

  • Gastroenterology Physician
  • Summerville, SC
  • NPI 1871911867
  Medicare reassignment NPD Authorized official
• Aaron Benjamin Domm, MD

  • Gastroenterology Physician
  • Summerville, SC
  • NPI 1760527576
  Medicare reassignment NPD
• Lynne Nicole Miller, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Charleston, SC
  • NPI 1013635010
  NPD (past)
• Marissa Williams

  • Certified Registered Nurse Anesthetist
  • Temple, TX
  • NPI 1992295737
  NPD (past)

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1093408361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EDENTON RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 NEXTON PKWY BLDG 4",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862935",
            "telephone_number": "843-814-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPCP ENDOSCOPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "VAN LEER GREENBERG",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "917-797-4297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nexton Procedure Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawnte S Posley, LPC
• Hope Potter
• Hannah Denise Potts
• Ramona Maciejny Powell, RPH
• Robert John Powers, D.D.S.
• PPCP Specialty Physicians , LLC
• PPCP Specialty Physicians, LLC
• PPCP Specialty Physicians, LLC
• Regan Elizabeth Pratt, DDS
• Jahnaia Praylow

• Ambulatory Surgical Clinic/Center in Summerville, SC
• Providers in Summerville, 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 May 30, 2024; 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.