Lowcountry Outpatient Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LOWCOUNTRY OUTPATIENT SURGERY CENTER, LLC

Practice address

93A Springview LN
Summerville, SC 29485-8154

Phone

(843) 285-6060

Fax

(843) 797-3633

NPI assigned

Mar 10, 2006

Last updated

Jul 26, 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

Mrs. Helene Medley

Title

Administrator

Phone

(843) 285-6069

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

Lowcountry Outpatient Surgery Center LLCCCN 42C0001061

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 2

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.

• David Harrison Jaskwhich, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • North Charleston, SC
  • NPI 1376579094
  NPD
• James Joseph McCoy Jr., M.D.

  • Orthopaedic Surgery Physician
  • North Charleston, SC
  • NPI 1730119090
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1821066200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93A SPRINGVIEW LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858154",
            "telephone_number": "843-285-6060",
            "fax_number": "843-797-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93A SPRINGVIEW LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858154",
            "telephone_number": "843-285-6060",
            "fax_number": "843-797-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY OUTPATIENT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "MEDLEY",
        "authorized_official_first_name": "HELENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-285-6069",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC060",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL RD MEDICARE",
            "identifier": "P00210673",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lowcountry Evaluations, LLC
• Lowcountry Eye Care of Cane Bay, LLC (Lowcountry Eye Care)
• Lowcountry Infectious Diseases PA
• Lowcountry Orthopaedic Associates, PA (Lowcountry Orthopaedics & Sports Medicine)
• Lowcountry Orthopaedic Associates, PA (Lowcountry Orthopaedics & Sports Medicine)
• Lowcountry Pediatric Eyecare LLC (Summerville Pediatric Eyecare)
• Lowcountry Therapy of SC LLC
• Lowcountry Urology Clinics, PA
• Jasmine Lucas
• John Hume Lucas IV, MD

• Ambulatory Surgical Clinic/Center in Summerville, SC
• Providers in Summerville, 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 26, 2024; 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.