Frederick D Adams, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Hartsville, SC
NPI 1003859927 · NPPES record last updated Jan 12, 2026
Key facts
- NPI
- 1003859927
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R88316 (SC)
- Practice address
- 1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710 - Phone
- (843) 339-2100
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vituity-Georgia Anesthesia PC
Practice addresses (Care Compare)
367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone (706) 356-7800
Hospital & facility affiliations
- Ty Cobb Regional Medical Center, LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050309000161 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1658325048 | Reassigns benefits to 4 organizations |
| I20191113001224 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1658325048 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1624 | SC | MD | Endodontist |
| 49810 | TX | MD | Psychiatric Pharmacist |
| R88316 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Health Cheraw | Current |
Accepting new patients | |
| Vituity-Georgia Anesthesia PC | Current |
Accepting new patients | |
| McLeod Health Cheraw | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hartsville, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| McLeod Health Cheraw | Current |
Accepting new patients | |
| Vituity-Georgia Anesthesia PC | Current |
Accepting new patients | |
| Kershaw Anesthesia, LLC | Current |
Accepting new patients | |
| Cobb Enterprises LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800
1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311
711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304
1 Medical Park Dr
Chester, SC 29706
Phone (803) 581-3151
1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN289663 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | R88316 | SC | Yes |
Addresses
Primary practice location
1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710
Mailing address
1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710
Phone (843) 339-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN1125 | Medicaid | SC |
Other providers in Hartsville, SC
- Zita Acuna Andreski
- Advance Medical, LLC
- Advanced Pain Therapies, LLC
- Advanced Wellness Center
- Dawn Marie Alexander
- Deborah Lynn Alexander
All providers in Hartsville, SC · Certified Registered Nurse Anesthetist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.