Active NPI
South Carolina Endoscopy Center - Northeast
- Ambulatory Surgical Clinic/Center
- Columbia, SC
National Provider Identifier
1801827993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SOUTH CAROLINA ENDOSCOPY CENTER - NORTHEAST
- Practice address
- 11 Gateway Corners Park
Columbia, SC 29203-8902 - Phone
- (803) 462-2300
- Fax
- (803) 462-0323
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eugene W Stuart, MD
- Title
- Medical Director
- Phone
- (803) 462-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | SC | Primary |
Addresses
Primary practice location
11 Gateway Corners Park
Columbia, SC 29203-8902
Mailing address
11 Gateway Corners Park
Columbia, SC 29203-8902
Phone (803) 462-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ASC047 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111209000758 | SC | Part B Supplier - Ambulatory Surgical Center | 9830215144 | Practice locations: Columbia, SC |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- South Carolina Endoscopy Center Northeast
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D1011777 | South Carolina Endoscopy Center-Northeast | Certificate of waiver | Apr 22, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- West Columbia, SC
- NPI 1588862619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753747200000",
"number": "1801827993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 GATEWAY CORNERS PARK",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292038902",
"telephone_number": "803-462-2300",
"fax_number": "803-462-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 GATEWAY CORNERS PARK",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292038902",
"telephone_number": "803-462-2300",
"fax_number": "803-462-0323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH CAROLINA ENDOSCOPY CENTER - NORTHEAST",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A",
"authorized_official_last_name": "STUART",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "803-462-2300",
"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": "ASC047",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- South Carolina Dept of Mental Health Accounting Office
- South Carolina Dept of Mental Health Accounting Office
- South Carolina Dept of Mental Health Accounting Office
- South Carolina Dept of Mental Health Accounting Office
- South Carolina Dhec
- South Carolina First Steps to School Readiness
- South Carolina Heart Center
- South Carolina Heart Center PA
- South Carolina HIV/AIDS Council
- South Carolina Home Health Care
Sources for this page
- 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.