1. Home
  2. Directory
  3. South Carolina
  4. Walterboro
  5. Clinic Center
  6. NPI Profile

COLLETON AMBULATORY CARE, LLC
NPI 1114957891
Clinic/Center - Ambulatory Surgical in Walterboro, SC

Active since July 05, 2006
304 MEDICAL PARK DR, WALTERBORO, SC 29488(843) 782-2700(843) 782-2701 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Colleton Ambulatory Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLETON AMBULATORY CARE, LLC (NPI 1114957891), doing business as Colleton Ambulatory Surgery, is a healthcare organization registered as an ambulatory surgical in Walterboro, South Carolina and active in the NPI registry since July 2006. The organization lists Deron Smith, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114957891
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOLLETON AMBULATORY CARE, LLC
Location Address304 MEDICAL PARK DRWalterboro, SC 29488-5743
Mailing Address304 Medical Park DrWalterboro, SC 29488-5743 · (843) 782-2700 · Fax (843) 782-2701
Phone(843) 782-2700
Fax(843) 782-2701
Organization SubpartNo
Authorized OfficialDeron SmithAdministrator · (843) 782-2610
Enumeration DateJuly 5, 2006
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1114957891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in SC · ASF-035
304 MEDICAL PARK DR, Walterboro, SC 29488
Open in Google Maps ↗

Other Names 2

Doing Business AsColleton Ambulatory Surgery
Doing Business AsHca Healthcare Colleton Ambulatory Surgery

Other Identifiers 1

MedicaidASC014SC

Frequently Asked Questions

What is COLLETON AMBULATORY CARE, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1114957891, enumerated as an "organization" on July 05, 2006.

Where is the provider located?

The provider is located at 304 MEDICAL PARK DR WALTERBORO, SC 29488 and the phone number is (843) 782-2700.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

What insurance does COLLETON AMBULATORY CARE, LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.