Active NPI
Columbia ASC LLC
Doing business as Columbia Gastrointestinal Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Columbia, SC
National Provider Identifier
1356314249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- ASF-032
- Legal business name
- COLUMBIA ASC LLC
- Doing business as
- Columbia Gastrointestinal Endoscopy Center
- Practice address
- 2739 Laurel St
Suite 1B
Columbia, SC 29204-2028 - Phone
- (803) 254-9588
- Fax
- (803) 931-8085
- NPI assigned
- Feb 10, 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
- Mr. Jeffrey Snodgrass
- Title
- President
- Phone
- (615) 665-1283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ASF-032 | SC | Primary |
Addresses
Primary practice location
2739 Laurel St
Suite 1B
Columbia, SC 29204-2028
Mailing address
1A Burton Hills Blvd
Attn: L&C
Nashville, TN 37215-6103
Phone (803) 254-9588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ASC008 | Medicaid | SC |
Other names 1
- Columbia Gastrointestinal Endoscopy Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070709000080 | SC | Part B Supplier - Ambulatory Surgical Center | 4486754330 | Practice locations: Columbia, SC |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Columbia Gastrointestinal Endoscopy Center
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Certified Registered Nurse Anesthetist
- Columbia, SC
- NPI 1164765723
Member Of
Locations
2739 Laurel St
Ste 1B
Columbia, SC 29204
Phone (803) 254-9588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650585600000",
"number": "1356314249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1A BURTON HILLS BLVD",
"address_2": "ATTN: L&C",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372156103",
"telephone_number": "803-254-9588",
"fax_number": "803-931-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2739 LAUREL ST",
"address_2": "SUITE 1B",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042028",
"telephone_number": "803-254-9588",
"fax_number": "803-931-8085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-10",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A",
"authorized_official_last_name": "SNODGRASS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-665-1283",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "SC",
"license": "ASF-032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ASC008",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Columbia Gastrointestinal Endoscopy Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Columbia Gastrointestinal Endoscopy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.