NPIMap

Organization Active NPI

Novant Health Rowan Endoscopy Center, LLC

Doing business as Salisbury Endoscopy Center

  • Endoscopy Clinic/Center
  • Salisbury, NC
National Provider Identifier
1982381976
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
NOVANT HEALTH ROWAN ENDOSCOPY CENTER, LLC
Doing business as
Salisbury Endoscopy Center
Practice address
510 Corporate Cir Ste 1001
Salisbury, NC 28147
Phone
(704) 783-1840
NPI assigned
Jun 30, 2023
Last updated
Jun 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Taylor Blackman
Title
Ceo
Phone
(704) 783-1840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X Primary

Addresses

Primary practice location

510 Corporate Cir Ste 1001
Salisbury, NC 28147

Mailing address

78 Church St NE
Concord, NC 28025-4757
Phone (704) 783-1840

Other names 1

  • Salisbury Endoscopy Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240709003085 NC Part B Supplier - Ambulatory Surgical Center 0446795975 Receives reassigned benefits from 12 practitioners
Practice locations: Salisbury, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982381976. Details of each certification follow.

Ambulatory surgical center certification: CCN 34C0001235

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Salisbury Endoscopy Center
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Nov 25, 2024
Last certification
Nov 25, 2024
Facility address
510 Corporate Cir., Ste. 1001
Salisbury, NC 28147

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
34D2307643Salisbury Endoscopy Center510 Corporate Circle, Suite 1001, Salisbury, NC 28147Certificate of waiverJul 11, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1982381976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CHURCH ST NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254757",
            "telephone_number": "704-783-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CORPORATE CIR STE 1001",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "28147",
            "telephone_number": "704-783-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH ROWAN ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "BLACKMAN",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-783-1840"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salisbury Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salisbury Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.