Organization Active NPI

Wesmark Ambulatory Surgery Center

Doing business as Wesmark Ambulatory Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Sumter, SC
National Provider Identifier
1124098512
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
05 15999 Issued in SC
Legal business name
WESMARK AMBULATORY SURGERY CENTER
Doing business as
Wesmark Ambulatory Surgery Center LLC
Practice address
420 W Wesmark Blvd
Sumter, SC 29150-1983
Phone
(803) 905-5590
Fax
(803) 905-5595
NPI assigned
Jan 26, 2006
Last updated
Nov 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Authorized official

Name
Ms. Sondra C Watson, MD
Title
Administrator
Phone
(803) 905-5590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 05 15999 SC Primary

Addresses

Primary practice location

420 W Wesmark Blvd
Sumter, SC 29150-1983

Mailing address

420 W Wesmark Blvd
Sumter, SC 29150-1983
Phone (803) 905-5590

Other names 2

  • Wesmark Ambulatory Surgery Center LLC Doing business as
  • SUMTER UROLOGICAL SURGERY Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428001264 SC Part B Supplier - Ambulatory Surgical Center 5991695041 Practice locations: Sumter, SC

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Wesmark Ambulatory Surgery CenterCCN 42C0001054
Medicare certification status
ActiveFrom the Provider of Services file

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
42D1021133Wesmark Ambulatory Surgery Center420 W Wesmark Blvd, Sumter, SC 29150Certificate of waiverJan 12, 2028

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1124098512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501983",
            "telephone_number": "803-905-5590",
            "fax_number": "803-905-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501983",
            "telephone_number": "803-905-5590",
            "fax_number": "803-905-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESMARK AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SONDRA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-905-5590",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": "05 15999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesmark Ambulatory Surgery Center LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUMTER UROLOGICAL SURGERY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SUMTER UROLOGICAL SURGERY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; 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.