Organization Active NPI

Trident Ambulatory Surgery Center, L.P.

  • Ambulatory Surgical Clinic/Center
  • Charleston, SC
National Provider Identifier
1922061456
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ASF024 Issued in SC
Legal business name
TRIDENT AMBULATORY SURGERY CENTER, L.P.
Practice address
9313 Medical Plaza Dr
Suite 102
Charleston, SC 29406-9155
Phone
(843) 797-8992
Fax
(843) 797-4071
NPI assigned
Apr 7, 2006
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David McKnight
Title
VP/Cfo
Phone
(972) 789-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X ASF024 SC Primary

Addresses

Primary practice location

9313 Medical Plaza Dr
Suite 102
Charleston, SC 29406-9155

Mailing address

9313 Medical Plaza Dr Ste 102
Charleston, SC 29406-9153
Phone (843) 797-8992

Other identifiers 1

IdentifierTypeStateIssuer
410219MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041007000189 SC Part B Supplier - Ambulatory Surgical Center 1658330428 Practice locations: Charleston, SC

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Trident Ambulatory Surgery Center LPCCN 42C0001021
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
42D0937491Trident Surgery Center9313 Medical Plaza Dr Suite 102, Charleston, SC 29406Certificate of waiverDec 16, 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1922061456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR STE 102",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069153",
            "telephone_number": "843-797-8992",
            "fax_number": "843-797-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR",
            "address_2": "SUITE 102",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069155",
            "telephone_number": "843-797-8992",
            "fax_number": "843-797-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT AMBULATORY SURGERY CENTER, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": "ASF024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410219",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.