Individual provider Active NPI

Cheryl Lynne Deets, D.O.

  • Family Medicine Physician
  • Hardeeville, SC
National Provider Identifier
1053401893
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51246 Issued in SC
Practice address
552 Stiney Rd
Hardeeville, SC 29927-5228
Phone
(843) 784-2181
NPI assigned
Oct 13, 2006
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1826 TN
Family Medicine Physician 207Q00000X 51246 SC Primary

Addresses

Primary practice location

552 Stiney Rd
Hardeeville, SC 29927-5228

Mailing address

721 Okatie Hwy
Okatie, SC 29909-3963
Phone (843) 987-7400

Other practice location 1

1510 Ribaut Rd
Port Royal, SC 29935-1403
Phone (843) 770-0676

Other practice location 2

423 Medical Park Dr
Suite 100
Lenoir City, TN 37772-5640
Phone (865) 271-6600

Other identifiers 3

IdentifierTypeStateIssuer
11484390OtherTNCAQH
51246MedicaidSC
1515151MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180713001212 SC Practitioner - Family PracticePractitioner - General Practice 5092777466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

721 N Okatie Hwy
Ridgeland, SC 29936-8276

721 Okatie Hwy
Okatie, SC 29909-3963
Phone (843) 987-7400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1826TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc CurrentSince Jan 9, 2023 Accepting new patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc. CurrentSince Jan 9, 2023 Accepting new patients
Yesenia Medina DO PA Family Medicine Past Accepting new patients
Mangrove Health Centers Inc Family Medicine PastSince Jan 1, 2016 Accepting new patients
Beaufort-Jasper-Hampton Comprehensive Health Service Inc Past Accepting new patients
Sierra Medical Center Inc Family Medicine Past Accepting new patients

Locations

721 Okatie Hwy
Okatie, SC 29909

721 N Okatie Hwy
Ridgeland, SC 29936
Phone (843) 987-7492

721 N Okatie Hwy
#170
Ridgeland, SC 29936

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EICIBD

Organizations & group practices 6

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 2

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1053401893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 OKATIE HWY",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299093963",
            "telephone_number": "843-987-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 STINEY RD",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299275228",
            "telephone_number": "843-784-2181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 Ribaut Rd",
            "address_purpose": "LOCATION",
            "city": "Port Royal",
            "state": "SC",
            "postal_code": "299351403",
            "country_code": "US",
            "telephone_number": "843-770-0676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "423 Medical Park Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725640",
            "country_code": "US",
            "telephone_number": "865-271-6600",
            "fax_number": "865-271-6601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEETS",
        "first_name": "CHERYL",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "1826",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "51246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11484390",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51246",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515151",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardeeville, SC

Sources for this page

Verify at the official NPI Registry.