CAROLINA SURGICAL CLINIC, LLC — NPI 1992830632 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in NEWBERRY, SC)

CMS-1500 Box 24J / 33a • NPI

1992830632

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261Q00000X (CMS 70)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

2541 EVANS ST, SUITE 100, NEWBERRY, SC, 29108-2963

✓ 9-Digit EDI 837 ZIP+4 (29108-2963)

Practice Phone & Referral Fax

(803) 276-1866

Fax: (803) 276-1867

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1992830632 (CAROLINA SURGICAL CLINIC, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1992830632` (NPI-2 Organization / Facility)
Provider / Legal Name	CAROLINA SURGICAL CLINIC, LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261Q00000X` (Clinic/Center)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	2541 EVANS ST, SUITE 100, NEWBERRY, SC, 29108-2963
Practice Telephone / Fax	Tel: (803) 276-1866 \| Fax: (803) 276-1867
Administrative Mailing Address	2541 EVANS ST, NEWBERRY, SC, 29108-2963
Enumeration & Last Sync	Enumerated: 2007-02-22 \| CMS Record Updated: 2008-03-03
Authorized Official	KEVIN DAVIS (owner operator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2541 EVANS ST, SUITE 100, NEWBERRY, SC, 29108-2963

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Plain-English Taxonomy & CMS Crosswalk (261Q00000X)

What Does Taxonomy Code 261Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261Q00000X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 70 (Clinic or Group Practice)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CAROLINA SURGICAL CLINIC, LLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261Q00000X` — Clinic/Center Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: SC \| License: `28906` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CAROLINA SURGICAL CLINIC, LLC (NPI #1992830632)