Active NPI
Rock Hill Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Rock Hill, SC
National Provider Identifier
1225064876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- ASF-028
- Legal business name
- ROCK HILL SURGERY CENTER, LLC
- Doing business as
- Carolina Surgical Center
- Practice address
- 198 S Herlong Ave
Rock Hill, SC 29732-1156 - Phone
- (803) 329-1234
- NPI assigned
- Jun 24, 2006
- 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
- Collin Lemaistre
- Title
- SVP of Outpatient Services, Tenet
- Phone
- (214) 213-0732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ASF-028 | SC | Primary |
Addresses
Primary practice location
198 S Herlong Ave
Rock Hill, SC 29732-1156
Mailing address
198 S Herlong Ave
Rock Hill, SC 29732-1156
Phone (803) 329-1234
Other names 1
- Carolina Surgical Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111205000946 | SC | Part B Supplier - Ambulatory Surgical Center | 4284809146 | Practice locations: Rock Hill, SC |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Carolina Surgical Center
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 42D0253580 | Carolina Surgical Center Inc | Certificate of waiver | May 25, 2027 |
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
Locations
198 Herlong Ave
Rock Hill, SC 29732
Phone (803) 327-4664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1225064876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 S HERLONG AVE",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321156",
"telephone_number": "803-329-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 S HERLONG AVE",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321156",
"telephone_number": "803-329-1234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCK HILL SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A",
"authorized_official_last_name": "LEMAISTRE",
"authorized_official_first_name": "COLLIN",
"authorized_official_title_or_position": "SVP OF OUTPATIENT SERVICES, TENET",
"authorized_official_telephone_number": "214-213-0732"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "SC",
"license": "ASF-028",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Carolina Surgical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.