PPCP ENDOSCOPY LLC NPI 1093408361

NPI Information

  • NPI: 1093408361
  • Provider Name: PPCP ENDOSCOPY LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: NEXTON PROCEDURE CENTER
  • CLIA Number: 42D2307264
  • Address: 1235 NEXTON PKWY BLDG 4
    SUMMERVILLE, SC
    ZIP 29486
  • Phone: (843) 814-8486

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NPI Details

PPCP ENDOSCOPY LLC is an ambulatory surgical clinic center in Summerville, SC. PPCP ENDOSCOPY LLC NPI is 1093408361. The provider is registered as an organization entity type.
The provider Is Doing Business As Nexton Procedure Center.

The provider's business location address is:

1235 NEXTON PKWY BLDG 4
SUMMERVILLE, SC
ZIP 29486-935
Phone: (843) 814-8486

The provider's authorized official is Brett Van Leer Greenberg .
The authorized official title is Managing Partner and has the following contact phone number (917) 797-4297.

The CLIA number assigned to this NPI record is 42D2307264 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2023 and was last updated on 5/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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