MALLARD CREEK SURGERY CENTER – NPI #1144652330
Clinic/Center

MALLARD CREEK SURGERY CENTER is an AHC clinic located in CHARLOTTE, NC. NPPES has assigned the NPI number 1144652330 to MALLARD CREEK SURGERY CENTER on July 30, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MALLARD CREEK SURGERY CENTER” is a dba name, the actual legal business name for this organization is UNIVERSITY SURGERY CENTER LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 3 years ago on Nov 10, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MALLARD CREEK SURGERY CENTER below.

NPI Profile for
UNIVERSITY SURGERY CENTER LLC

NPI Number
1144652330
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UNIVERSITY SURGERY CENTER LLC
Doing Business As (dba): MALLARD CREEK SURGERY CENTER
Primary location
9848 N TRYON ST
SUITE 200
CHARLOTTE, NC 28262-5512
Phone: (704) 548-5200 Fax: (704) 323-3933
Mailing address
PO BOX 117444
ATLANTA, GA 30368-7444
Phone: (704) 323-2000 Fax:
Organization Subpart
No
Authorized Official
BRENT SHEAR
CFO
Phone: (704) 323-2222
Updated
Certification Date
Nov 10, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 NC 00000

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.