CAROLINA SURGERY CENTER LLC NPI 1467770206

NPI Information

  • NPI: 1467770206
  • Provider Name: CAROLINA SURGERY CENTER LLC
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Organization
  • Doing Business As: SURGERY CENTER AT EDGEWATER CRNA GROUP
  • CLIA Number: 42D1077100
  • Address: 2536 LENGERS WAY
    FORT MILL, SC
    ZIP 29707
  • Phone: (803) 802-9500

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NPI Details

CAROLINA SURGERY CENTER LLC is a nurse anesthetist certified registered in Fort Mill, SC. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. CAROLINA SURGERY CENTER LLC NPI is 1467770206. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Surgery Center At Edgewater Crna Group.

The provider's business location address is:

2536 LENGERS WAY
FORT MILL, SC
ZIP 29707-126
Phone: (803) 802-9500

The provider's authorized official is Doug Arbour .
The authorized official title is Ceo and has the following contact phone number (803) 286-1481.

The CLIA number assigned to this NPI record is 42D1077100 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2010 and was last updated on 6/3/2011.

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
1367500000XNurse Anesthetist, Certified RegisteredYes

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
18053845MEDICAIDNORTH CAROLINA
2DR3018OTHERSOUTH CAROLINARR MEDICARE
39532MEDICARE PINSOUTH CAROLINA
4GP5434MEDICAIDSOUTH 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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