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CHARLOTTE SURGERY CENTER, LLC
NPI 1124594338
Clinic/Center - Ambulatory Surgical in Charlotte, NC

Active since October 16, 2018CLIA Certified · 2 labs
3621 RANDOLPH RD STE 200, CHARLOTTE, NC 28211(704) 377-1647 Get Directions Write a Review

NPPES record last updated: October 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charlotte Surgery Center, Llc NPPES

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

CHARLOTTE SURGERY CENTER, LLC (NPI 1124594338), doing business as Charlotte Surgery Center-wendover Campus, is a healthcare organization registered as an ambulatory surgical in Charlotte, North Carolina and active in the NPI registry since October 2018. The organization holds 2 active CLIA laboratory certificates and lists Thomas James Lally, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1124594338
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCHARLOTTE SURGERY CENTER, LLC
Location Address3621 RANDOLPH RD STE 200Charlotte, NC 28211-0027
Mailing Address3621 Randolph Rd Ste 200Charlotte, NC 28211-0027 · (704) 377-1647
Phone(704) 377-1647
Organization SubpartYes
Authorized OfficialThomas James LallyChief Administrative Officer · (704) 377-1647
Enumeration DateOctober 16, 2018
✔ NPI 1124594338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3621 RANDOLPH RD STE 200, Charlotte, NC 28211
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Other Names 1

Doing Business AsCharlotte Surgery Center-wendover Campus

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 34D2156252

Charlotte Surgery Center Dba Charlotte Surgery Center Wendover Campus · Charlotte, NC
Active · expires Oct 11, 2026
CLIA Number34D2156252
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 12, 2024
Certificate Expiration DateOctober 11, 2026
Laboratory DirectorTimber Andrawis
Laboratory Phone(704) 206-8800
Laboratory LocationCharlotte Surgery Center Dba Charlotte Surgery Center Wendover Campus3621 Randolph Road, Suite 200, Charlotte, NC 28211
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D0664966

Charlotte Surgery Center, LLC Dba Charlotte Surgery Center - Museum Campus · Charlotte, NC
Active · expires Aug 31, 2026
CLIA Number34D0664966
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNick Lambert
Laboratory Phone(704) 377-1647
Laboratory LocationCharlotte Surgery Center, LLC Dba Charlotte Surgery Center - Museum Campus2825 Randolph Road, Charlotte, NC 28211
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
137 services131 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
117 services111 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
69 services69 patients
Release of tendon connecting biceps muscle and shoulder using an endoscope 29828
This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.
48 services48 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
39 services38 patients
Removal of extensive shoulder joint tissue using an endoscope 29823
This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.
37 services37 patients

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 Charlotte Surgery Center, LLC's NPI number?

The NPI number for Charlotte Surgery Center, LLC is 1124594338. It was assigned to this organization in the NPPES registry on October 16, 2018. The provider is doing business as Charlotte Surgery Center-Wendover Campus.

Where is Charlotte Surgery Center, LLC located?

Charlotte Surgery Center, LLC is located at 3621 Randolph Rd Ste 200, Charlotte, NC 28211. The listed phone number is (704) 377-1647.

What is Charlotte Surgery Center, LLC's specialty?

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

Does Charlotte Surgery Center, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Charlotte Surgery Center, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Blue Cross and Blue Shield of NC list Charlotte 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 Charlotte Surgery Center, LLC was last updated on October 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.