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THE SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY CENTER, LLC
NPI 1124150297
Clinic/Center - Ambulatory Surgical in Mt Pleasant, SC

Active since March 12, 2007
1106 CHUCK DAWLEY BLVD, MT PLEASANT, SC 29464(843) 669-5162(843) 667-4573 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2020, Jun 21, 2018 (2 updates tracked since 2018).

About The Southeastern Spine Institute Ambulatory Surgery Center, Llc NPPES

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

THE SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY CENTER, LLC (NPI 1124150297) is a healthcare organization registered as an ambulatory surgical in Mt Pleasant, South Carolina and active in the NPI registry since March 2007. The organization lists Donald R Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1124150297
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTHE SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY CENTER, LLC
Location Address1106 CHUCK DAWLEY BLVDMt Pleasant, SC 29464-4183
Mailing Address217 Dozier Blvd, Suite 100Florence, SC 29501-4090 · (843) 669-5162 · Fax (843) 667-4573
Phone(843) 669-5162
Fax(843) 667-4573
Organization SubpartNo
Authorized OfficialDonald R JohnsonPresident · 18436695162
Enumeration DateMarch 12, 2007
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
✔ NPI 1124150297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1106 CHUCK DAWLEY BLVD, Mt Pleasant, SC 29464
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DEANNA MARIE ROBERTS ATC
Orthopaedic Surgery (Sports Medicine)
1106 CHUCK DAWLEY BLVD
MOUNT PLEASANT, SC 29464
Charleston County (843) 876-0111
DR. JOHN F JOHNSON M.D.
Physical Medicine & Rehabilitation
1106 CHUCK DAWLEY BLVD, SUITE200
MT PLEASANT, SC 29464
Charleston County (843) 849-1551
DR. DONALD R JOHNSON II M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1106 CHUCK DAWLEY BLVD, SUITE 200
MT PLEASANT, SC 29464
Charleston County (843) 849-1551
DR. LEONARD E FORREST M.D.
Physical Medicine & Rehabilitation
1106 CHUCK DAWLEY BLVD, SUITE 200
MT PLEASANT, SC 29464
Charleston County (800) 741-6920
DR. GEORGE R RICHARDSON M.D.
Physical Medicine & Rehabilitation
1106 CHUCK DAWLEY BLVD, SUITE 200
MT PLEASANT, SC 29464
Charleston County (843) 849-1551
DR. R. BLAKE DENNIS M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1106 CHUCK DAWLEY BLVD, SUITE 100
MOUNT PLEASANT, SC 29464
Charleston County (843) 849-1551
MOLLIE MEARES MPT
Physical Therapist
1106 CHUCK DAWLEY BLVD, SUITE 201
MT PLEASANT, SC 29464
Charleston County (843) 388-0015
MISS MELISSA LANGSTON RPT
Physical Therapist
1106 CHUCK DAWLEY BLVD
MT PLEASANT, SC 29464
Charleston County (843) 388-0015

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 The Southeastern Spine Institute Ambulatory Surgery Center, LLC's NPI number?

The NPI number for The Southeastern Spine Institute Ambulatory Surgery Center, LLC is 1124150297. It was assigned to this organization in the NPPES registry on March 12, 2007.

Where is The Southeastern Spine Institute Ambulatory Surgery Center, LLC located?

The Southeastern Spine Institute Ambulatory Surgery Center, LLC is located at 1106 Chuck Dawley Blvd, Mt Pleasant, SC 29464. The listed phone number is (843) 669-5162.

What is The Southeastern Spine Institute Ambulatory Surgery Center, LLC's specialty?

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

What insurance does The Southeastern Spine Institute Ambulatory Surgery Center, LLC accept?

Health plans from UnitedHealthcare list The Southeastern Spine Institute Ambulatory Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Southeastern Spine Institute Ambulatory Surgery Center, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.