Active NPI
Millennium ASC LLC
- Ambulatory Surgical Clinic/Center
- Greenville, SC
National Provider Identifier
1861148512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MILLENNIUM ASC LLC
- Practice address
- 214 Innovation Dr
Greenville, SC 29607-5254 - Phone
- (513) 952-4792
- NPI assigned
- Feb 22, 2022
- Last updated
- Jan 22, 2025
- 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
- Kimberly Ralston
- Title
- System Director
- Phone
- (864) 695-1270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
214 Innovation Dr
Greenville, SC 29607-5254
Mailing address
214 Innovation Dr
Greenville, SC 29607-5254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240808003150 | SC | Part B Supplier - Ambulatory Surgical Center | 3476090390 | Practice locations: Greenville, SC |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Millennium ASC LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
214 Innovation Dr
Greenville, SC 29607
Phone (513) 952-4792
Practitioners & affiliated clinicians
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.
-
- Orthopaedic Surgery Physician
- Greenville, SC
- NPI 1508278243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737504000000",
"number": "1861148512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 INNOVATION DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 INNOVATION DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075254",
"telephone_number": "513-952-4792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLENNIUM ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-22",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A",
"authorized_official_last_name": "RALSTON",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "SYSTEM DIRECTOR",
"authorized_official_telephone_number": "864-695-1270"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.