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PRIME SURGICAL SUITES, LLC
NPI 1437623626
Clinic/Center - Ambulatory Surgical in Granite Falls, NC

Active since January 22, 2019CLIA 34D2167034 · Waiver
180 RIVERBEND DR, GRANITE FALLS, NC 28630(828) 757-5100 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 8, 2024, Feb 6, 2024, Jan 22, 2019 (3 updates tracked since 2019).

About Prime Surgical Suites, Llc NPPES

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

PRIME SURGICAL SUITES, LLC (NPI 1437623626), doing business as Scsv, Llc, is a healthcare organization registered as an ambulatory surgical in Granite Falls, North Carolina and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through May 30, 2027, maintains a secondary practice location in Lenoir, and lists Karen Ann Shadowens, Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1437623626
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePRIME SURGICAL SUITES, LLC
Location Address180 RIVERBEND DRGranite Falls, NC 28630
Mailing Address321 Mulberry St SwLenoir, NC 28645-5720 · (828) 757-5100
Phone(828) 757-5100
Organization SubpartNo
Authorized OfficialKaren Ann ShadowensVp, Cfo · (828) 757-5100
Enumeration DateJanuary 22, 2019
Last NPPES UpdateNovember 8, 20243 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
✔ NPI 1437623626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
180 RIVERBEND DR, Granite Falls, NC 28630
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Other Names 1

Former Legal Business NameScsv, Llc

Secondary Practice Location 1

Location 1321 Mulberry St SWLenoir, NC 28645 · Phone (828) 757-5100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prime Surgical Suites, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Prime Surgical Suites, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Robert Duggan, D.P.M.
Podiatry
NPI 1538158670
401 MULBERRY ST SW STE 102
Lenoir, NC 28645
(828) 757-6434
✔ PECOS✔ Accepts Medicare12 mi
Philip Jenkins, DPM
Podiatry
NPI 1841277662
401 MULBERRY ST SW STE 102
Lenoir, NC 28645
(828) 757-6434
✔ PECOS✔ Accepts Medicare12 mi
Justin Walker, MD
Orthopedic Surgery
NPI 1073742573
401 MULBERRY ST SW STE 102
Lenoir, NC 28645
(828) 757-6434
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 34D2167034

Prime Surgical Suites, LLC · Granite Falls, NC
Active · expires May 30, 2027
CLIA Number34D2167034
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorTeresa D. Burwell
Laboratory Phone(828) 757-5100
Laboratory LocationPrime Surgical Suites, LLC180 River Bend Drive, Granite Falls, NC 28630
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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
48 services47 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
36 services32 patients
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.
32 services30 patients
Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
32 services16 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
31 services31 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
22 services22 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 Prime Surgical Suites, LLC's NPI number?

The NPI number for Prime Surgical Suites, LLC is 1437623626. It was assigned to this organization in the NPPES registry on January 22, 2019. The provider was formerly known as Scsv, LLC.

Where is Prime Surgical Suites, LLC located?

Prime Surgical Suites, LLC is located at 180 Riverbend Dr, Granite Falls, NC 28630. The listed phone number is (828) 757-5100.

What is Prime Surgical Suites, LLC's specialty?

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

Is Prime Surgical Suites, LLC enrolled in Medicare?

Yes. Prime Surgical Suites, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prime Surgical Suites, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Prime Surgical Suites, LLC, in Orthopedic Surgery and Podiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Prime Surgical Suites, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2167034) is associated with this NPI, valid through May 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prime Surgical Suites, LLC accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Prime Surgical Suites, 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 Prime Surgical Suites, LLC was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.