Organization Active NPI

South Carolina Endoscopy Center - Northeast

  • Ambulatory Surgical Clinic/Center
  • Columbia, SC
National Provider Identifier
1801827993
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Jul 29, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ASC047MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NortheastCCN 42C0001048
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1011777South Carolina Endoscopy Center-Northeast11 Gateway Corner'S Park, Columbia, SC 29203Certificate of waiverApr 22, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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

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.

Verify at the official NPI Registry.