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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Colleton Ambulatory Care, LLC

Ambulatory Surgical Clinic/Center in Walterboro, SC · enumerated 2006 · authorized official Deron Smith, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114957891

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Colleton Ambulatory Care, LLC
Other name <Unavail>
Practice address 304 Medical Park Dr, Walterboro, SC, 29488
Fax (843) 782-2701
Enumeration date Jul 5, 2006
Last updated in NPPES Oct 1, 2025

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License ASF-035 (SC) Primary

Authorized official

Name Deron Smith
Title Administrator

Other identifiers

Identifier Type State Issuer
ASC014 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Colleton Ambulatory Care, LLC?
NPPES lists Deron Smith (Administrator) as the authorized official for this organization.
What is the NPI number for Colleton Ambulatory Care, LLC?
The NPI for Colleton Ambulatory Care, LLC is 1114957891, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-01.