Organization Active NPI

South Carolina Surgical PA

  • Surgery Physician
  • Orangeburg, SC
National Provider Identifier
1104320001
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SOUTH CAROLINA SURGICAL PA
Practice address
3045 St Matthews Road
Orangeburg, SC 29118
Phone
(803) 665-2049
NPI assigned
Mar 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Dion Franga, MDNPI 1306938931
Title
MD, Owner
Phone
(803) 665-2049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3045 St Matthews Road
Orangeburg, SC 29118

Mailing address

3045 St Matthews Road
Orangeburg, SC 29118
Phone (803) 665-2049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180827002177 SC Part B Supplier - Clinic/Group Practice 0345599247 Receives reassigned benefits from 3 practitioners
Practice locations: Orangeburg, SC; Columbia, SC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2154868South Carolina Surgical3045 St Matthews Rd, Orangeburg, SC 29118Certificate of waiverSep 18, 2026

National Provider Directory

National Provider Directory

Locations

120 Gateway Corporate Blvd
Ste Scs
Columbia, SC 29203
Phone (803) 747-7242

5 Richland Medical Park Dr
Ste Scs
Columbia, SC 29203
Phone (803) 747-7242

3000 Saint Matthews Rd
Ste 1
Orangeburg, SC 29118
Phone (803) 747-7242

3045 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 665-2049

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1104320001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 ST MATTHEWS ROAD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "29118",
            "telephone_number": "803-665-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 ST MATTHEWS ROAD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "29118",
            "telephone_number": "803-665-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA SURGICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "FRANGA",
        "authorized_official_first_name": "DION",
        "authorized_official_title_or_position": "MD, OWNER",
        "authorized_official_telephone_number": "803-665-2049",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.