SUMMERVILLE ENDOSCOPY SURGICENTER, LLC
NPI 1053238097
Clinic/Center - Ambulatory Surgical in Summerville, SC
About Summerville Endoscopy Surgicenter, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMERVILLE ENDOSCOPY SURGICENTER, LLC (NPI 1053238097), doing business as Summerville Endoscopy Center, is a healthcare organization registered as an ambulatory surgical in Summerville, South Carolina and active in the NPI registry since July 2026. The organization holds a CLIA Waiver certificate valid through March 12, 2028 and lists David Mcknight, Vp/cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 42D2074662
Summerville Endoscopy Center · Summerville, SCOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SUMMERVILLE, SC 29485
SUMMERVILLE, SC 29485
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Summerville Endoscopy Surgicenter, LLC's NPI number?
The NPI number for Summerville Endoscopy Surgicenter, LLC is 1053238097. It was assigned to this organization in the NPPES registry on July 1, 2026. The provider is doing business as Summerville Endoscopy Center.
Where is Summerville Endoscopy Surgicenter, LLC located?
Summerville Endoscopy Surgicenter, LLC is located at 328 Midland Pkwy, Summerville, SC 29485. The listed phone number is (843) 722-8000.
What is Summerville Endoscopy Surgicenter, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Summerville Endoscopy Surgicenter, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D2074662) is associated with this NPI, valid through March 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Summerville Endoscopy Surgicenter, LLC was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Summerville Endoscopy Surgicenter, Llc · NPI 1053238097
Ambulatory Surgical organization in Summerville, South Carolina. Organization record, active in the CMS NPPES registry since July 1, 2026.
## Identity
- **NPI:** 1053238097 (Entity type: Organization)
- **Enumerated:** July 1, 2026
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Also known as:** Summerville Endoscopy Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** David Mcknight, VP/CFO
## Practice location
- **Address:** 328 MIDLAND PKWY, Summerville, SC 29485-8102
- **Phone:** (843) 722-8000
## Record status
- **NPPES last updated:** July 1, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053238097) · Data from the CMS NPPES public registry.