Active NPI
Trident Ambulatory Surgery Center, L.P.
- Ambulatory Surgical Clinic/Center
- Charleston, SC
National Provider Identifier
1922061456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- ASF024
- 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, 2026
- 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
- David McKnight
- Title
- VP/Cfo
- Phone
- (972) 789-2816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410219 | 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 |
|---|---|---|---|---|
| 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 LP
- 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 |
|---|---|---|---|
| 42D0937491 | Trident Surgery Center | Certificate of waiver | Dec 16, 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, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Charleston, SC
- NPI 1770529539
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
- Tri-County Dental Arts
- Tri-County Surgical Specialists LLC
- Tri-County Surgical Specialists LLC
- Matthew James Triano, MD
- Tricounty Surgical Associates, PA
- Trident Anesthesia Group, LLC
- Trident Anesthesia Group, LLC (Pain Care Physicians of Charleston, LLC)
- Trident Behavioral Health Services LLC
- Trident Dental Associates, LLC
- Trident Dental Partners LLC
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.