Prisma Health Ambulatory Surgery Centers-Midlands, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PRISMA HEALTH AMBULATORY SURGERY CENTERS-MIDLANDS, LLC

Practice address

104 Saluda Pointe Dr Ste 200
Lexington, SC 29072-7295

Phone

(803) 939-5050

Fax

(803) 356-1326

NPI assigned

Jan 21, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Kristi Lawrence

Title

Director, Provider Enrollment & Cvo

Phone

(864) 522-8611

Specialties & licenses 1

Addresses

Other names 1

• Prisma Health Orthopedic Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

Prisma Health ASC Midlands Dba Prisma Health Orthopedic Surgery CenterCCN 42C0001075

Medicare certification status

ActiveFrom the Provider of Services file

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1689326670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SALUDA POINTE DR STE 200",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727295",
            "telephone_number": "803-939-5050",
            "fax_number": "803-356-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH AMBULATORY SURGERY CENTERS-MIDLANDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "DIRECTOR, PROVIDER ENROLLMENT & CVO",
        "authorized_official_telephone_number": "864-522-8611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prisma Health Orthopedic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prisma Health Orthopedic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel Zenan Price Jr., DMD
• Lisa Price
• Martina Latoya Price, M.A.-CF-SLP
• Priceless Homecare
• Prisma Health
• Prisma Health Medical Group-Midlands
• Jordan Privette, PHARMD
• Proactive MD SC,P.a.
• Promed Preferred SC PC
• Erin Propst

• Ambulatory Surgical Clinic/Center in Lexington, SC
• Providers in Lexington, 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 May 18, 2023; 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.