Active NPI
Greenville Regional Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Greenville, SC
National Provider Identifier
1184512485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- GREENVILLE REGIONAL SURGERY CENTER LLC
- Practice address
- 110 Mall Connector Rd
Greenville, SC 29607-6830 - Phone
- (551) 207-0291
- NPI assigned
- Jun 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Rivera
- Title
- Billing and Credentialing Manager
- Phone
- (864) 269-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
110 Mall Connector Rd
Greenville, SC 29607-6830
Mailing address
110 Mall Connector Rd
Greenville, SC 29607-3582
Phone (551) 207-0291
Other names 1
- Trinity Surgery Center LLC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2331012 | Trinity Surgery Center, LLC | Certificate of waiver | Sep 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
110 Mall Connector Rd
Greenville, SC 29607
Phone (551) 207-0291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1184512485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MALL CONNECTOR RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073582",
"telephone_number": "551-207-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MALL CONNECTOR RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296076830",
"telephone_number": "551-207-0291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENVILLE REGIONAL SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-25",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "BILLING AND CREDENTIALING MANAGER",
"authorized_official_telephone_number": "864-269-3333"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Trinity Surgery Center LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Trinity Surgery Center LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Greenville Post Acute, LLC
- Greenville Proaxis Therapy LLC
- Greenville Proaxis Therapy, LLC
- Greenville Psychiatry, P.a.
- Greenville Radiology P a
- Greenville Rehabilitation and Healthcare Center, LLC
- Greenville Rheumatology & Allergy
- Greenville RX LLC
- Greenville Skilled Nursing, LLC
- Greenville Smiles P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.