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SOUTH CHARLOTTE PLASTIC SURGERY, LLC
NPI 1982260980
Surgery - Plastic and Reconstructive Surgery in Rock Hill, SC

Active since May 15, 2019
1721 EBENEZER RD STE 115, ROCK HILL, SC 29732(843) 898-8058(843) 405-7021 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2020, Jun 13, 2019, May 15, 2019 (3 updates tracked since 2019).

About South Charlotte Plastic Surgery, Llc NPPES

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

SOUTH CHARLOTTE PLASTIC SURGERY, LLC (NPI 1982260980) is a healthcare organization registered as a plastic and reconstructive surgery in Rock Hill, South Carolina and active in the NPI registry since May 2019. The organization maintains 2 additional practice locations and lists Paul Diegidio, Owner, as its authorized official.

NPPES Registry Identity

NPI1982260980
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameSOUTH CHARLOTTE PLASTIC SURGERY, LLC
Location Address1721 EBENEZER RD STE 115Rock Hill, SC 29732-1119
Mailing Address1721 Ebenezer Rd Ste 115Rock Hill, SC 29732-1119 · (843) 898-8058 · Fax (843) 405-7021
Phone(843) 898-8058
Fax(843) 405-7021
Organization SubpartNo
Authorized OfficialPaul DiegidioOwner · (843) 898-8058
Enumeration DateMay 15, 2019
Last NPPES UpdateMay 7, 20203 updates tracked since enumeration
NPPES CertifiedMay 7, 2020
✔ NPI 1982260980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1721 EBENEZER RD STE 115, Rock Hill, SC 29732
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Secondary Practice Locations 2

Location 1802 Green Valley Rd Ste 108Greensboro, NC 27408-7099 · Phone (843) 898-8058 · Fax (843) 405-7021
Location 29336 Blakeney Centre Dr Ste 130Charlotte, NC 28277-6667 · Phone (843) 898-8058

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 42D2263854

South Carolina Plastic Surgery · Rock Hill, SC
Expired · Jul 5, 2026
CLIA Number42D2263854
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2024
Certificate Expiration DateJuly 5, 2026
Laboratory DirectorDr. Paul Diegidio
Laboratory Phone(704) 741-9970
Laboratory LocationSouth Carolina Plastic Surgery1721 Ebenezer Road, Suite 115, Rock Hill, SC 29732
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

PAUL DIEGIDIO MD
Surgery (Plastic and Reconstructive Surgery)
1721 EBENEZER RD STE 115
ROCK HILL, SC 29732
York County (843) 898-8058

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 South Charlotte Plastic Surgery, LLC's NPI number?

The NPI number for South Charlotte Plastic Surgery, LLC is 1982260980. It was assigned to this organization in the NPPES registry on May 15, 2019.

Where is South Charlotte Plastic Surgery, LLC located?

South Charlotte Plastic Surgery, LLC is located at 1721 Ebenezer Rd Ste 115, Rock Hill, SC 29732. The listed phone number is (843) 898-8058.

What is South Charlotte Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for South Charlotte Plastic Surgery, LLC was last updated on May 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.