Carolina Surgery Center LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

CAROLINA SURGERY CENTER LLC

Doing business as

Surgery Center at Edgewater CRNA Group

Practice address

2536 Lengers Way
Fort Mill, SC 29707-7126

Phone

(803) 802-9500

NPI assigned

May 4, 2010

Last updated

Jun 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Doug Arbour

Title

Ceo

Phone

(803) 286-1481

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Surgery Center at Edgewater CRNA Group Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Carolina Surgery Center LLC

  dba The Surgery Center at Edgewater

  • Ambulatory Surgical Clinic/Center
  • Fort Mill, SC
  • NPI 1689863771

  0749359958

  Same PAC ID

Tax ID family

Carolina Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carolina Surgery Center LLC

  dba The Surgery Center at Edgewater

  • Ambulatory Surgical Clinic/Center
  • Fort Mill, SC
  • NPI 1689863771
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debbie E Brewer, MBA

  • Case Manager/Care Coordinator
  • Florence, AL
  • NPI 1407091465
  NPD

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1467770206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653021547",
            "telephone_number": "660-826-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 LENGERS WAY",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297077126",
            "telephone_number": "803-802-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "ARBOUR",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-286-1481"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DR3018",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8053845",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5434",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center at Edgewater CRNA Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Professional Dentistry,LLC
• Carolina Speech Connection, LLC
• Carolina Speech Works
• Carolina Speech Works, LLC
• Carolina Sports Clinic-Fort Mill,LLC
• Carolina Surgery Center LLC (The Surgery Center at Edgewater)
• Carolina Surgery Vein Clinic LLC (Legacy Health and Wellness)
• Carolina Therapeutics, LLC
• Carolina Urology Center, PA
• Carolinas Physicians Network Inc (Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici)

• Certified Registered Nurse Anesthetist in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Certified Registered Nurse Anesthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.