Upstate Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASF-050 Issued in SC

Legal business name

UPSTATE SURGERY CENTER, LLC

Practice address

10 Enterprise Blvd Ste 109
Greenville, SC 29615-3534

Phone

(864) 813-7226

Fax

(864) 556-7552

NPI assigned

Jul 23, 2006

Last updated

Mar 6, 2026By 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

Devin Larsen

Title

Ceo

Phone

(631) 445-0593

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

Upstate Surgery Center LLCCCN 42C0001033

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St. Francis Hospital, Inc.

  dba Bon Secours St. Francis Surgery Center

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1376899856

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1619998523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9709 LAKESIDE BLVD STE 350",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773811216",
            "telephone_number": "713-489-2198",
            "fax_number": "713-489-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ENTERPRISE BLVD STE 109",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153534",
            "telephone_number": "864-813-7226",
            "fax_number": "864-556-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-445-0593"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": "ASF-050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upstate Restorative Counseling, LLC
• Upstate Senior Living, Inc. (The Arboretum at The Woodlands at Furman)
• Upstate Specific Chiropractic
• Upstate Speechies, LLC
• Upstate Spine & Sport PC (Upstate Spine & Sport)
• Upstate Therapy, LLC
• Upstate Theratx LLC
• Upstate Urology and Associates, P.a.
• Upstate Vision Associates LLC
• Upward Change Health Services, LLC

• Ambulatory Surgical Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.