South Carolina Endoscopy Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOUTH CAROLINA ENDOSCOPY CENTER

Practice address

131 Summerplace Dr
West Columbia, SC 29169-3058

Phone

(803) 796-0642

Fax

(803) 796-3130

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

John W Schaberg, MD

Title

Medical Director

Phone

(803) 796-0642

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

South Carolina Endoscopy CenterCCN 42C0001026

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Lee Wilson, MD

  • Gastroenterology Physician
  • West Columbia, SC
  • NPI 1508124611
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1740210459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SUMMERPLACE DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693058",
            "telephone_number": "803-796-0642",
            "fax_number": "803-796-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SUMMERPLACE DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693058",
            "telephone_number": "803-796-0642",
            "fax_number": "803-796-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "SCHABERG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-796-0642",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC015",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elsa Solomon, COTA
• Latoya Denise Solomon, APRN
• South Carolina Autism Society
• South Carolina CVS Pharmacy LLC (CVS Pharmacy #07556)
• South Carolina CVS Pharmacy LLC (CVS Pharmacy #07338)
• South Carolina Episcopal Home at 'Still Hopes' (Still Hopes Episcopal Retirement Community)
• South Carolina Heart Center PA
• South Carolina Homecare, LLC (Home Health Care of South Carolina - Midlands)
• Southeastern Community Development Home Health Care Corporation
• Jewel D Southerland, CRNA

• Ambulatory Surgical Clinic/Center in West Columbia, SC
• Providers in West Columbia, 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 Jul 29, 2025; 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.