Charleston Surgery Center Limited Partnership

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CHARLESTON SURGERY CENTER LIMITED PARTNERSHIP

Practice address

130 Edge St
Summerville, SC 29486

Phone

(843) 628-5816

Fax

(864) 630-7811

NPI assigned

Apr 20, 2006

Last updated

Oct 28, 2019By 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

Andrew Sargent Jr.

Title

Chief Administrative Officer

Phone

(843) 628-5816

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

Charleston Surgery Center Limited PartnershipCCN 42C0001011

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

Member of 1

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

• Palmetto Adult and Childrens Urology PA

  • Urology Physician
  • North Charleston, SC
  • NPI 1467440644

  Member Of

  NPD member

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1174588206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 EDGE ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294863002",
            "telephone_number": "843-628-5816",
            "fax_number": "864-630-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 EDGE ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29486",
            "telephone_number": "843-628-5816",
            "fax_number": "864-630-7811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2690 Lake Park Dr",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069100",
            "country_code": "US",
            "telephone_number": "843-764-0992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARLESTON SURGERY CENTER LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "SARGENT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "843-628-5816",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HISTORICAL DATA",
            "identifier": "490000945",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charleston Confident Co LLC
• Charleston Endodontics LLC
• Charleston ENT Associates LLC
• Charleston ENT Associates, LLC (WS Charleston ENT Pharmacy)
• Charleston Gastroenterology Specialists
• Elizabeth Charlip
• Darlene D Chatman, LPC
• Chatterbox SLP, LLC
• Hannah Chaudhury, MD
• Valerie Chavers

• 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 Oct 28, 2019; 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.