Charlotte Surgery Center, LLC
NPI 1124594338 · Ambulatory Surgical Clinic/Center · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charlotte Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Charlotte, NC (NPI 1124594338).
Provider details
- NPI number
- 1124594338
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Charlotte Surgery Center, LLC
- Organization subpart
- Yes
- Authorized official
- Thomas Lally, Chief Administrative Officer(704) 377-1647
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
542 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Replacement of Knee Joint, Both Sides of Knee27447 | 137 | $8,564 |
| Replacement of Thigh Bone and Hip Joint With Prosthesis27130 | 117 | $8,787 |
| Repair of Shoulder Rotator Cuff Using an Endoscope29827 | 69 | $2,143 |
| Release of Tendon Connecting Biceps Muscle and Shoulder Using an Endoscope29828 | 48 | $3,148 |
| Prosthetic Repair of Shoulder Joint, Total Shoulder23472 | 39 | $13,399 |
| Removal of Extensive Shoulder Joint Tissue Using an Endoscope29823 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Charlotte Surgery Center-Wendover Campus
Registry dates
- Enumerated
- 2018-10-16
- Last updated
- 2018-10-16
Frequently asked questions
- What is Charlotte Surgery Center, LLC's NPI number?
- Charlotte Surgery Center, LLC's National Provider Identifier (NPI) is 1124594338, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charlotte Surgery Center, LLC?
- Charlotte Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Charlotte Surgery Center, LLC located?
- Charlotte Surgery Center, LLC's practice location on file with NPPES is 3621 Randolph Rd Ste 200, Charlotte, NC 28211-0027.
- What is Charlotte Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Charlotte Surgery Center, LLC is (704) 377-1647.
- Does Charlotte Surgery Center, LLC accept Medicare?
- Charlotte Surgery Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Charlotte Surgery Center, LLC?
- The authorized official listed on Charlotte Surgery Center, LLC's NPPES record is Thomas Lally, Chief Administrative Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charlotte Surgery Center, LLC's NPI active?
- Yes — Charlotte Surgery Center, LLC's NPI (1124594338) is active in the NPPES registry as of the last update on 2018-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.