Individual provider Active NPI

Frederick D Adams, CRNA

  • Certified Registered Nurse Anesthetist
  • Hartsville, SC
National Provider Identifier
1003859927
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R88316 Issued in SC
Practice address
1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710
Phone
(843) 339-2100
NPI assigned
Jun 14, 2006
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN289663 GA
Certified Registered Nurse Anesthetist 367500000X R88316 SC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 6901331339, 24 clinicians

Practice addresses (Care Compare)

367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone (706) 356-7800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1624SCMDEndodontist
49810TXMDPsychiatric Pharmacist
R88316SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Cheraw CurrentSince Sep 22, 2019 Accepting new patients
Kershaw Anesthesia, LLC CurrentSince Jan 1, 2016 Accepting new patients
Hartsville, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 3, 2002 Accepting new patients
McLeod Health Cheraw Nurse Anesthetist, Certified Registered Current Accepting new patients
Vituity-Georgia Anesthesia PC CurrentSince Sep 1, 2024 Accepting new patients
Vituity-Georgia Anesthesia PC CurrentSince Sep 1, 2024 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 10, 2016 Accepting new patients
McLeod Health Cheraw CurrentSince Sep 22, 2019 Accepting new patients
Cobb Enterprises LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 4, 2019 Accepting new patients

Locations

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072

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

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1003859927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 W BOBO NEWSOM HWY",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504710",
            "telephone_number": "843-339-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 W BOBO NEWSOM HWY",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504710",
            "telephone_number": "843-339-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "FREDERICK",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN289663",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "R88316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.