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UPSTATE SURGERY CENTER, LLC
NPI 1619998523
Clinic/Center - Ambulatory Surgical in Greenville, SC

Active since July 23, 2006CLIA 42D0883226 · Waiver
10 ENTERPRISE BLVD STE 109, GREENVILLE, SC 29615(864) 813-7226(864) 556-7552 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2026, Jan 21, 2026 (2 updates tracked since 2026).

About Upstate Surgery Center, Llc NPPES

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

UPSTATE SURGERY CENTER, LLC (NPI 1619998523) is a healthcare organization registered as an ambulatory surgical in Greenville, South Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists Devin Larsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619998523
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameUPSTATE SURGERY CENTER, LLC
Location Address10 ENTERPRISE BLVD STE 109Greenville, SC 29615-3534
Mailing Address9709 Lakeside Blvd Ste 350Spring, TX 77381-1216 · (713) 489-2198 · Fax (713) 489-2978
Phone(864) 813-7226
Fax(864) 556-7552
Organization SubpartNo
Authorized OfficialDevin LarsenCeo · (631) 445-0593
Enumeration DateJuly 23, 2006
Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1619998523 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-050
10 ENTERPRISE BLVD STE 109, Greenville, SC 29615
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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 42D0883226

Upstate Surgery Center, LLC Dba Greenville Children's Surgery Center · Greenville, SC
Active · expires Sep 16, 2026
CLIA Number42D0883226
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorLisa Brown
Laboratory Phone(864) 813-7226
Laboratory LocationUpstate Surgery Center, LLC Dba Greenville Children's Surgery Center10 Enterprise Blvd Suite 109, Greenville, SC 29615
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,066 services645 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
84 services44 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
74 services54 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
58 services29 patients
Destruction of lens tissue using laser 66710
Destruction of lens tissue using a laser is a medical procedure aimed at treating eye conditions like cataracts. A laser is employed to break down the affected lens tissue, which is then removed. This allows the insertion of an artificial lens to improve vision.
33 services30 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
23 services16 patients

Other Providers at the Same Location NPPES 2

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

CHRYSTAL LEVERN RUCKER RN
Nurse Practitioner (Family)
10 ENTERPRISE BLVD STE 109
GREENVILLE, SC 29615
Greenville County (864) 458-7141
RED TIDE RE LLC
Anesthesiology
10 ENTERPRISE BLVD STE 109
GREENVILLE, SC 29615
Greenville County (864) 813-7226

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 Upstate Surgery Center, LLC's NPI number?

The NPI number for Upstate Surgery Center, LLC is 1619998523. It was assigned to this organization in the NPPES registry on July 23, 2006.

Where is Upstate Surgery Center, LLC located?

Upstate Surgery Center, LLC is located at 10 Enterprise Blvd Ste 109, Greenville, SC 29615. The listed phone number is (864) 813-7226.

What is Upstate Surgery Center, LLC's specialty?

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

Does Upstate Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0883226) is associated with this NPI, valid through September 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Upstate Surgery Center, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Upstate 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 Upstate Surgery Center, LLC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.