PALMETTO ENDOSCOPY CENTER LLC NPI 1376592204

NPI Information

  • NPI: 1376592204
  • Provider Name: PALMETTO ENDOSCOPY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 2073 CHARLIE HALL BLVD
    CHARLESTON, SC
    ZIP 29414
  • Phone: (843) 571-0643

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NPI Details

PALMETTO ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in Charleston, SC. PALMETTO ENDOSCOPY CENTER LLC NPI is 1376592204. The provider is registered as an organization entity type.

The provider's business location address is:

2073 CHARLIE HALL BLVD
CHARLESTON, SC
ZIP 29414-834
Phone: (843) 571-0643
Fax: (843) 377-0499

The provider's authorized official is Sabrina Mccleaf .
The authorized official title is Hr and has the following contact phone number (843) 571-0673.

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.

  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Dilation of esophagus (HCPCS:43450)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Insertion of sacral nerve neurostimulator electrode array (HCPCS:64561)
  • Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)

The enumeration date for this NPI number is 5/8/2006 and was last updated on 9/9/2010.

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 SurgicalASF084SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Y13983MEDICARE UPINSOUTH CAROLINA
2Q336170001MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINAPART B PROV NUMBER
3ASC054MEDICAIDSOUTH CAROLINA

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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