Christopher R Accetta, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Summerville, SC
NPI 1407820384 · NPPES record last updated Feb 3, 2021
Key facts
- NPI
- 1407820384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 15328 (SC)
- Practice address
- 83 Springview LN
Summerville, SC 29485-8154 - Phone
- (843) 797-3664
- Fax
- (843) 820-1007
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110816000184 | SC | Practitioner - Obstetrics/Gynecology | 1759396369 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Saint Francis Physicians Network | Obstetrics & Gynecology | Current |
Accepting new patients |
| Obhg South Carolina PC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Roper Saint Francis Physicians Network | Obstetrics & Gynecology | Current |
Accepting new patients |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| James T. Martin Jr. MD | Current |
Accepting new patients | |
| Trident Medical Center, LLC | Past | Accepting new patients |
Locations
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
1027 Physicians Dr
Ste 110
Charleston, SC 29414
Phone (843) 740-6700
8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
9213 University Blvd
Ste A
North Charleston, SC 29406
Phone (843) 569-2900
9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366
295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366
501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.654
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 15328 | SC | Yes |
Addresses
Primary practice location
83 Springview LN
Summerville, SC 29485-8154
Mailing address
83 Springview LN
Summerville, SC 29485-8154
Phone (843) 797-3664
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TL3779 | Medicaid | SC |
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All providers in Summerville, SC · Obstetrics & Gynecology Physician 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 Feb 3, 2021. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.