NPIMap

Organization Active NPI

Carolina ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Greenville, SC
National Provider Identifier
1487400636
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CAROLINA ASC LLC
Practice address
110 Chalmers Rd Unit a
Greenville, SC 29605-1363
Phone
(864) 977-8200
Fax
(864) 527-3700
NPI assigned
Apr 29, 2024
Last updated
May 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Kathryn Kohara
Title
Cfo
Phone
(864) 271-1844

Specialties & licenses 1

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

Addresses

Primary practice location

110 Chalmers Rd Unit a
Greenville, SC 29605-1363

Mailing address

203 Mills Ave
Greenville, SC 29605-4019
Phone (864) 271-1844

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251212002328 SC Part B Supplier - Ambulatory Surgical Center 7810481223 Practice locations: Greenville, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487400636. Details of each certification follow.

Ambulatory surgical center certification: CCN 42C0001117

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Carolina ASC LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Feb 20, 2026
Last certification
Jan 30, 2026
Facility address
110 Chalmers Road Suite A
Greenville, SC 29605

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
42D2328094Carolina ASC, LLC110 Chalmers Rd Ste a, Greenville, SC 29605Certificate of waiverAug 4, 2027

National Provider Directory

National Provider Directory

Locations

110 Chalmers Rd
Unit A
Greenville, SC 29605
Phone (864) 977-8200

203 Mills Ave
Greenville, SC 29605
Phone (803) 271-1844

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1487400636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MILLS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054019",
            "telephone_number": "864-271-1844",
            "fax_number": "864-271-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHALMERS RD UNIT A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051363",
            "telephone_number": "864-977-8200",
            "fax_number": "864-527-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "KOHARA",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-271-1844"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.