Organization Active NPI

Greenville Regional Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Greenville, SC
National Provider Identifier
1184512485
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Aug 20, 2026

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)CodeLicenseStatePrimary
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 Doing business as

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
42D2331012Trinity Surgery Center, LLC110 Mall Connector Road Suite 200, Greenville, SC 29607Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory

Locations

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"
        }
    ]
}

Other providers in Greenville, SC

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.

Verify at the official NPI Registry.