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SURGERY CENTER AT EDGEWATER CRNA GROUP
NPI 1467770206
Nurse Anesthetist, Certified Registered in Fort Mill, SC

Active since May 04, 2010CLIA 42D1077100 · Waiver
2536 LENGERS WAY, FORT MILL, SC 29707(803) 802-9500 Get Directions Write a Review

NPPES record last updated: June 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Surgery Center At Edgewater Crna Group NPPES

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

SURGERY CENTER AT EDGEWATER CRNA GROUP (NPI 1467770206) is a healthcare organization registered as a nurse anesthetist, certified registered in Fort Mill, South Carolina and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through November 29, 2027 and lists Doug Arbour, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467770206
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameCAROLINA SURGERY CENTER LLC
Location Address2536 LENGERS WAYFort Mill, SC 29707-7126
Mailing AddressPo Box 1547Sedalia, MO 65302-1547 · (660) 826-5960
Phone(803) 802-9500
Organization SubpartNo
Authorized OfficialDoug ArbourCeo · (803) 286-1481
Enumeration DateMay 4, 2010
Last NPPES UpdateJune 3, 2011
✔ NPI 1467770206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2536 LENGERS WAY, Fort Mill, SC 29707
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Other Names 1

Doing Business AsSurgery Center At Edgewater Crna Group

Other Identifiers 4

Medicaid8053845NC
OtherDR3018SC · Rr Medicare
Medicare PIN9532SC
MedicaidGP5434SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 42D1077100

Surgery Center At Edgewater,the Carolina Surgery Center LLC Dba · Fort Mill, SC
Active · expires Nov 29, 2027
CLIA Number42D1077100
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorBrendan Tribble
Laboratory Phone(803) 802-9500
Laboratory LocationSurgery Center At Edgewater,the Carolina Surgery Center LLC Dba2536 Lengers Way, Fort Mill, SC 29708
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

IPS OF SOUTH CAROLINA LLC
Anesthesiology
2536 LENGERS WAY
FORT MILL, SC 29707
Lancaster County (803) 802-9500
PATRICIA ROACH NORCOM CRNA
Nurse Anesthetist, Certified Registered
2536 LENGERS WAY
FORT MILL, SC 29707
Lancaster County (704) 749-5800
BRYAN RENKEN M.D.
Anesthesiology
2536 LENGERS WAY
FORT MILL, SC 29707
Lancaster County (704) 749-5800
CAROLINA SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
2536 LENGERS WAY
FORT MILL, SC 29707
Lancaster County (803) 286-1481

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 Carolina Surgery Center LLC's NPI number?

The NPI number for Carolina Surgery Center LLC is 1467770206. It was assigned to this organization in the NPPES registry on May 4, 2010. The provider is doing business as Surgery Center At Edgewater Crna Group.

Where is Carolina Surgery Center LLC located?

Carolina Surgery Center LLC is located at 2536 Lengers Way, Fort Mill, SC 29707. The listed phone number is (803) 802-9500.

What is Carolina Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Does Carolina Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1077100) is associated with this NPI, valid through November 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carolina Surgery Center LLC was last updated on June 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.