CHARLOTTE SURGERY CENTER LLC NPI 1891750998

NPI Information

  • NPI: 1891750998
  • Provider Name: CHARLOTTE SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: CHARLOTTE SURGERY CENTER
  • CLIA Number: 34D0664966
  • Address: 2825 RANDOLPH RD
    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 1891750998. The provider is registered as an organization entity type.
The provider Is Doing Business As Charlotte Surgery Center.

The provider's business location address is:

2825 RANDOLPH RD
CHARLOTTE, NC
ZIP 28211-075
Phone: (704) 377-1647

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

The CLIA number assigned to this NPI record is 34D0664966 - ambulatory surgery center with a certificate type of Certificate of Waiver.

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 cataract with insertion of prosthetic lens (HCPCS:66984)
  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Correction of toe joint deformity (HCPCS:28285)
  • Incision or partial removal of foot bone (other than big toe) to straighten toe (HCPCS:28308)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Fusion of big toe at joint with foot (HCPCS:28750)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Removal of deep implant from bone (HCPCS:20680)
  • Reconstruction of soft tissue angular deformity of toe (HCPCS:28313)
  • Removal of nasal air passage under lining tissue (HCPCS:30140)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Repair of groin hernia using an endoscope (HCPCS:49650)
  • Correction of bunion (HCPCS:28292)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Removal of nasal sinus tissue using an endoscope (HCPCS:31267)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Release and/or relocation of elbow nerve (HCPCS:64718)
  • Correction of bunion with 2 areas of realignment (HCPCS:28299)
  • Reshaping of nasal cartilage (HCPCS:30520)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Removal of fibrous nerve growth from between toes (HCPCS:28080)
  • Removal of foot bone spur (HCPCS:28288)
  • Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device (HCPCS:25609)

The enumeration date for this NPI number is 4/20/2006 and was last updated on 10/15/2018.

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 SurgicalNo
2261QA1903XClinic/CenterAmbulatory SurgicalAS0026NORTH 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
13409842MEDICAIDNORTH 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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