Hartsville Surgical Center, LLP

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

HARTSVILLE SURGICAL CENTER, LLP

Practice address

704 Medical Park Drive
Hartsville, SC 29550-4765

Phone

(843) 332-1099

Fax

(843) 332-1091

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Jason Dameron, MDNPI 1700863404

Title

Owner

Phone

(843) 332-1099

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Hartsville Surgical Center, LLP Former legal business name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason R Dameron, MD

  • Surgery Physician
  • Hartsville, SC
  • NPI 1700863404
  Medicare reassignment Care Compare group NPD Authorized official
• Philip Chaipis, MD

  • Surgery Physician
  • Hartsville, SC
  • NPI 1760449920
  Medicare reassignment Care Compare group NPD
• Patrick E Sizemore, M.D.

  • Surgery Physician
  • Hartsville, SC
  • NPI 1679575013
  Medicare reassignment Care Compare group NPD
• Thomas Vanco Mincheff, MD

  • Surgery Physician
  • Hartsville, SC
  • NPI 1679500375
  Medicare reassignment NPD
• Carroll Brooks Bannister, MD

  • Surgery Physician
  • Hartsville, SC
  • NPI 1689692253
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1093760969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 MEDICAL PARK DRIVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504765",
            "telephone_number": "843-332-1099",
            "fax_number": "843-332-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 MEDICAL PARK DRIVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504765",
            "telephone_number": "843-332-1099",
            "fax_number": "843-332-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTSVILLE SURGICAL CENTER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "DAMERON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-332-1099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "SC",
            "license": "16060",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1482",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartsville Surgical Center, LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hartsville Medical Group LLC
• Hartsville Orthopaedics & Sports Medicine, PA
• Hartsville Physical Therapy & Rehabilitation Center LLC.
• Hartsville Rescue Squad Inc
• Hartsville SC Primary Care LLC (Hartsville Primary Care)
• Hartsville, LLC (Carolina Pines Regional Medical Center)
• Roy Harvey, CRNA
• Terence W Hassler, MD
• Courtney Alexandra Hatchell
• Health First

• Surgery Physician in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.