Organization Active NPI

Palmetto Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Charleston, SC
National Provider Identifier
1376592204
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ASF084 Issued in SC
Legal business name
PALMETTO ENDOSCOPY CENTER LLC
Practice address
2073 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone
(843) 571-0643
Fax
(843) 377-0499
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Judy Langston Starling
Title
Ceo
Phone
(843) 571-0643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X ASF084 SC Primary

Addresses

Primary practice location

2073 Charlie Hall Blvd
Charleston, SC 29414-5834

Mailing address

2073 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone (843) 571-0643

Other identifiers 1

IdentifierTypeStateIssuer
ASC054MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040809000688 SC Part B Supplier - Ambulatory Surgical Center 3375515547 Practice locations: Charleston, SC

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Palmetto Endoscopy Center LLCCCN 42C0001056
Medicare certification status
ActiveFrom the Provider of Services file

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
42D1022240Palmetto Endoscopy Center2073 Charlie Hall Blvd, Charleston, SC 29414Certificate of waiverMay 26, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1376592204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-571-0643",
            "fax_number": "843-377-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-571-0643",
            "fax_number": "843-377-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "STARLING",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "LANGSTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-571-0643"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": "ASF084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC054",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.