CHARLOTTE SURGERY CENTER LLC NPI 1124594338

NPI Information

  • NPI: 1124594338
  • Provider Name: CHARLOTTE SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 3621 RANDOLPH RD STE 200
    CHARLOTTE, NC
    ZIP 28211
  • Phone: (704) 377-1647

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NPI Details

CHARLOTTE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Charlotte, NC. CHARLOTTE SURGERY CENTER, LLC NPI is 1124594338. The provider is registered as an organization entity type.

The provider's business location address is:

3621 RANDOLPH RD STE 200
CHARLOTTE, NC
ZIP 28211-027
Phone: (704) 377-1647

The provider's authorized official is Thomas James Lally .
The authorized official title is Chief Administrative Officer and has the following contact phone number (704) 377-1647.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Release and/or relocation of elbow nerve (HCPCS:64718)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device (HCPCS:25609)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Replacement of knee joint on side of knee (HCPCS:27446)
  • Relocation of tendon of forearm and/or wrist (HCPCS:25310)

The enumeration date for this NPI number is 10/16/2018 and was last updated on 10/16/2018.

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
1261QA1903XClinic/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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