Organization Active NPI

Ravenel OB-GYN

  • Obstetrics & Gynecology Physician
  • North Charleston, SC
National Provider Identifier
1265654529
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
019439 Issued in SC
Legal business name
RAVENEL OB-GYN
Practice address
1370 Remount Road
Suite D
North Charleston, SC 29406
Phone
(843) 566-1200
Fax
(843) 566-0401
NPI assigned
May 3, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Francis Akom, MDNPI 1790761385
Title
Physician
Phone
(843) 566-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 019439 SC Primary

Addresses

Primary practice location

1370 Remount Road
Suite D
North Charleston, SC 29406

Mailing address

Post Office Box 60730
North Charleston, SC 29419-0730
Phone (843) 566-1200

Other identifiers 1

IdentifierTypeStateIssuer
GP2823MedicaidSC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0957030Ravenel OB/GYN1370 Remount Rd Ste D, North Charleston, SC 29406Certificate of waiverFeb 9, 2027

National Provider Directory

National Provider Directory

Locations

1370 Remount Rd
Ste D
North Charleston, SC 29406
Phone (843) 566-1200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1265654529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 60730",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294190730",
            "telephone_number": "843-566-1200",
            "fax_number": "843-566-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 REMOUNT ROAD",
            "address_2": "SUITE D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-566-1200",
            "fax_number": "843-566-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVENEL OB-GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "AKOM",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "843-566-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "019439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2823",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.