Active NPI
Palmetto Endoscopy Center LLC
- Ambulatory Surgical Clinic/Center
- Charleston, SC
National Provider Identifier
1376592204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- ASF084
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ASC054 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- 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 |
|---|---|---|---|
| 42D1022240 | Palmetto Endoscopy Center | Certificate of waiver | May 26, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Charleston, SC
- NPI 1386139178
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
- Palmetto Cardiovascular and Thoracic Assoc PA
- Palmetto Care Services of S.C.
- Palmetto Creative Dentistry of Mt. Pleasant LLC
- Palmetto Custom Compounding
- Palmetto Digestive Disease PA
- Palmetto Health Psychology LLC
- Palmetto Home Healthcare
- Palmetto in Homern
- Palmetto Kidney and Hypertension LLC
- Palmetto Lowcountry Behavioral Health, LLC
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.