Active NPI
Greenville Surgery Center LP
- Ambulatory Surgical Clinic/Center
- Seneca, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- GREENVILLE SURGERY CENTER LP
- Practice address
- 322 Union Station Dr
Ste 202
Seneca, SC 29678-4547 - Phone
- (864) 986-0085
- NPI assigned
- Mar 20, 2023
- Organization subpart
- Yes
- Parent organization
- GREENVILLE SURGERY CENTER LP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Becker
- Title
- Cfo
- Phone
- (914) 391-4921
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
322 Union Station Dr
Ste 202
Seneca, SC 29678-4547
Mailing address
PO Box 11407
Birmingham, AL 35246-8575
Phone (864) 359-1308
Other names 1
- EHA Surgery Center Seneca
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240509000103 | SC | Part B Supplier - Ambulatory Surgical Center | 4981796539 | Practice locations: Seneca, SC |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Ambulatory Surgical Clinic/Center
- Greenville, SC
- NPI 1578722633
4981796539
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 |
|---|---|---|---|
| 42D2290843 | Greenville Surgery Center, LP Dba | Certificate of waiver | Oct 1, 2027 |
National Provider Directory
National Provider Directory- Part of
- Greenville Surgery Center LP
Locations
5 Memorial Medical Ct
Greenville, SC 29605
Phone (864) 272-3409
322 Union Station Dr
Unit 202
Seneca, SC 29678
Phone (855) 654-2020
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Ambulatory Surgical Clinic/Center
- Greenville, SC
- NPI 1578722633
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Greenville, SC
- NPI 1750383212
-
- Ophthalmology Physician
- Clinton, SC
- NPI 1134155955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777334400000",
"number": "1407558703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11407",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352468575",
"telephone_number": "864-359-1308",
"fax_number": "239-496-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 UNION STATION DR",
"address_2": "STE 202",
"city": "SENECA",
"state": "SC",
"postal_code": "296784547",
"telephone_number": "864-986-0085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENVILLE SURGERY CENTER LP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GREENVILLE SURGERY CENTER LP",
"enumeration_date": "2023-03-20",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "914-391-4921"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EHA Surgery Center Seneca",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.