Arianne M Fredrickson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3023 Issued in SC

Practice address

1810 Richmond Ave
Port Royal, SC 29935-2015

Phone

(843) 781-7700

NPI assigned

May 27, 2011

Last updated

Apr 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Comprehensive Rehab Consultants PLLC

  dba Comprehensive Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771

  SC

  Medicare reassignment
• Bcep PA

  • Emergency Medical Services (Emergency Medicine) Physician
  • Austin, TX
  • NPI 1629291844
  NPD (past)
• Georgia Emergency Associates Immediate Care Center

  • General Practice Physician
  • Savannah, GA
  • NPI 1306876081
  NPD (past)

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1184917866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 RUDDER RUN",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104306",
            "telephone_number": "715-456-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 RICHMOND AVE",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299352015",
            "telephone_number": "843-781-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICKSON",
        "first_name": "ARIANNE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "PA3023",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Dean, M.ED.
• Doctors Care SC, PA (Doctors Care Beaufort)
• Alexandra L Edenfield, PA
• John Bruce Etheridge, MD
• Richard H Fitzgerald, M.D.
• Fresenius Medical Care Beaufort County, LLC (FMC Dialysis Services Low Country Dialysis)
• Genesis Eldercare Rehabilitation Services LLC (Genesis Rehabilitation Services)
• Ashton Marie Giammona, PA-C
• Jessie Pernell Goethie, DNP, APRN, FNP-C
• Carissa Grande

• Physician Assistant in Port Royal, SC
• Providers in Port Royal, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.