Organization Active NPI

Greenville Surgery Center LP

  • Ambulatory Surgical Clinic/Center
  • Seneca, SC
National Provider Identifier
1407558703
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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 LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

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
42D2290843Greenville Surgery Center, LP Dba322 Union Station Drive, Suite 202, Seneca, SC 29678Certificate of waiverOct 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.

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.