AMBULATORY SURGERY CENTER OF SPARTANBURG, LLC
NPI 1619972791
Clinic/Center - Ambulatory Surgical in Spartanburg, SC

Active since June 16, 2005CLIA 42D0996263 · Waiver
720 N PINE ST, SPARTANBURG, SC 29303(864) 560-5800(864) 560-5899 Get Directions Write a Review

NPPES record last updated: December 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ambulatory Surgery Center Of Spartanburg, Llc NPPES

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

AMBULATORY SURGERY CENTER OF SPARTANBURG, LLC (NPI 1619972791) is a healthcare organization registered as an ambulatory surgical in Spartanburg, South Carolina and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through February 12, 2028 and lists Mike Pankey, Administrator, as its authorized official.

NPPES Registry Identity

NPI1619972791
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAMBULATORY SURGERY CENTER OF SPARTANBURG, LLC
Location Address720 N PINE STSpartanburg, SC 29303-3127
Mailing Address13740 Cypress Terrace Cir, Ste 501-503Fort Myers, FL 33907-8827 · (239) 274-1000 · Fax (239) 274-1001
Fax(864) 560-5899
Organization SubpartNo
Authorized OfficialMike PankeyAdministrator · (864) 560-5821
Enumeration DateJune 16, 2005
Last NPPES UpdateDecember 19, 2007
NPI 1619972791 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-064
720 N PINE ST, Spartanburg, SC 29303

Other Identifiers 2

Other31910Partners Natl Health
MedicaidASC-037SC

Accepted Insurance

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 42D0996263

Ambulatory Surgery Ctr Spartanburg LLC · Spartanburg, SC
Active · expires Feb 12, 2028
CLIA Number42D0996263
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorJohn D. Wren
Laboratory Phone(864) 560-6556
Laboratory LocationAmbulatory Surgery Ctr Spartanburg LLC720 North Pine Street, Spartanburg, SC 29303
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 34

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
9,002 services51 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.
384 services384 patients
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.
300 services296 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.
222 services222 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
166 services166 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
117 services114 patients

Other Providers at the Same Location NPPES 13

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

Nurse Anesthetist, Certified Registered
720 N PINE ST
SPARTANBURG, SC 29303
Anesthesiology
720 N PINE ST
SPARTANBURG, SC 29303
Specialist
720 N PINE ST
SPARTANBURG, SC 29303
Nurse Anesthetist, Certified Registered
720 N PINE ST
SPARTANBURG, SC 29303
Nurse Anesthetist, Certified Registered
720 N PINE ST
SPARTANBURG, SC 29303
Nurse Anesthetist, Certified Registered
720 N PINE ST
SPARTANBURG, SC 29303
Specialist
720 N PINE ST
SPARTANBURG, SC 29303
Specialist
720 N PINE ST
SPARTANBURG, SC 29303

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 Ambulatory Surgery Center Of Spartanburg, LLC's NPI number?

The NPI number for Ambulatory Surgery Center Of Spartanburg, LLC is 1619972791. It was assigned to this organization in the NPPES registry on June 16, 2005.

Where is Ambulatory Surgery Center Of Spartanburg, LLC located?

Ambulatory Surgery Center Of Spartanburg, LLC is located at 720 N Pine St, Spartanburg, SC 29303. The listed phone number is (864) 560-5800.

What is Ambulatory Surgery Center Of Spartanburg, LLC's specialty?

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

Does Ambulatory Surgery Center Of Spartanburg, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0996263) is associated with this NPI, valid through February 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ambulatory Surgery Center Of Spartanburg, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 1 other insurer list Ambulatory Surgery Center Of Spartanburg, 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 Ambulatory Surgery Center Of Spartanburg, LLC was last updated on December 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.