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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: August 16, 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
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Other Names 2

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

Other Identifiers 1

MedicaidASC014SC

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 Colleton Ambulatory Care, LLC's NPI number?

The NPI number for Colleton Ambulatory Care, LLC is 1114957891. It was assigned to this organization in the NPPES registry on July 5, 2006. The provider is doing business as Colleton Ambulatory Surgery and HCA Healthcare Colleton Ambulatory Surgery.

Where is Colleton Ambulatory Care, LLC located?

Colleton Ambulatory Care, LLC is located at 304 Medical Park Dr, Walterboro, SC 29488. The listed phone number is (843) 782-2700.

What is Colleton Ambulatory Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Colleton Ambulatory Care, LLC was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.