CCLC Obs LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CCLC OBS LLC

Practice address

121 Halton Village Cir
Greenville, SC 29607-6825

Phone

(864) 286-3700

NPI assigned

Jun 5, 2024

Last updated

Jun 5, 2024By 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

Anne ParkerNPI 1225074396

Title

Medical Director

Phone

(864) 286-3700

Specialties & licenses 2

Addresses

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.

• Anne V. Parker, M.D.

  • Ophthalmology Physician
  • Greenville, SC
  • NPI 1225074396
  NPD Authorized official

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1780425330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HALTON VILLAGE CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076825",
            "telephone_number": "864-286-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HALTON VILLAGE CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076825",
            "telephone_number": "864-286-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCLC OBS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "864-286-3700"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel O'Neal Cavenaugh, M.D.
• Catherine Cavender
• Mindy Lee Cavendish, M.S., CCC-SLP
• Nelson Johan Caviedes, CRNA
• Cbedrugs, LLC (Parker Road Drugstore)
• Ccofs Oral Surgery 2 LLC
• Ccofs Oral Surgery I, LLC (Carolinas Center for Oral & Facial Surgery)
• Adrick Dorell Ceasar, PT
• John E. Cebe, M.D.
• Lindsey Caston Cecil, MD

• 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 Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.