Charleston Endoscopy Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASF079 Issued in SC

Legal business name

CHARLESTON ENDOSCOPY CENTER

Practice address

1962 Charlie Hall Blvd
Charleston, SC 29414-5837

Phone

(843) 722-8000

Fax

(843) 723-7850

NPI assigned

Jul 14, 2005

Last updated

Aug 18, 2026By 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

Collin Lemaistre, CPC, MCS-P

Title

Market President

Phone

(214) 213-0732

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

Charleston Endoscopy CenterCCN 42C0001053

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.

• Low Country Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Summerville, SC
  • NPI 1679113526

  Member Of

  NPD member

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey M Basile, MD

  • Gastroenterology Physician
  • Charleston, SC
  • NPI 1437393964
  Medicare reassignment NPD
• Theodore G Gourdin, MD

  • Gastroenterology Physician
  • Charleston, SC
  • NPI 1821094301
  Medicare reassignment NPD
• Neven Hadzijahic, MD

  • Gastroenterology Physician
  • Charleston, SC
  • NPI 1427054915
  Medicare reassignment NPD
• Christopher Lawrence, MD

  • Gastroenterology Physician
  • Charleston, SC
  • NPI 1609984566
  Medicare reassignment NPD
• Ankit Patel, M.D.

  • Gastroenterology Physician
  • Hilton Head Island, SC
  • NPI 1790046373
  Medicare reassignment NPD
• Nathan Joseph Shores, M.D.

  • Gastroenterology Physician
  • Charleston, SC
  • NPI 1417173378
  Medicare reassignment NPD

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1316946106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 2ND AVE STE 101",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867887",
            "telephone_number": "843-793-5182",
            "fax_number": "843-266-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145837",
            "telephone_number": "843-722-8000",
            "fax_number": "843-723-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "LEMAISTRE",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "MARKET PRESIDENT",
        "authorized_official_telephone_number": "214-213-0732",
        "authorized_official_credential": "CPC, MCS-P"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": "ASF079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC050",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charleston County School District - Nursing
• Charleston Cty Schools
• Charleston Dental & Dentures LLC (Dental, Dentures & Implants)
• Charleston Dental Associates, LLC (Charleston Dental Arts)
• Charleston Emergency Services LLC
• Charleston ENT Associates
• Charleston ENT Associates LLC (Charleston ENT Pharmacy)
• Charleston ENT Associates, LLC (Surgery Center of Charleston)
• Charleston ENT Associates, LLC
• Charleston Eye Care PA Inc

• Ambulatory Surgical Clinic/Center in Charleston, SC
• Providers in Charleston, 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 Aug 18, 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.