Individual provider Active NPI

Christina Marie Cottrell, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Summerville, SC
National Provider Identifier
1558877357
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21460 Issued in SC
Practice address
1516 Old Trolley Rd Ste 101
Summerville, SC 29485-8345
Phone
(843) 203-9393
Fax
(843) 492-4673
NPI assigned
Dec 17, 2017
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21460 SC Primary

Addresses

Primary practice location

1516 Old Trolley Rd Ste 101
Summerville, SC 29485-8345

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 695-6071

Other practice location 1

679 Orangeburg Rd Unit F
Summerville, SC 29483-9038
Phone (843) 261-2600

Other practice location 2

10825 Dorchester Rd Apt 3063
Summerville, SC 29485-6058
Phone (843) 471-3557

Other identifiers 1

IdentifierTypeStateIssuer
NP5594MedicaidSC

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
I20201210001059 SC Practitioner - Family Practice 0749690196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1516 Old Trolley Rd
Suite 101
Summerville, SC 29485-8209
Phone (843) 203-9393

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince May 3, 2021 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince May 3, 2021 Accepting new patients
Palmetto Primary Care Physicians, LLC Past Accepting new patients

Locations

2500 Elms Center Rd
North Charleston, SC 29406

1516 Old Trolley Rd
Ste 101
Summerville, SC 29485
Phone (843) 203-9393

201 Oakbrook Ln
Ste 255
Summerville, SC 29485
Phone (843) 851-2000

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3403

Interoperability endpoints

  • Direct secure messaging: christina.cottrell@ppcp1.eclinicaldirectplus.com

Organizations & group practices 4

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 3

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": "1513468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1558877357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-695-6071",
            "fax_number": "843-569-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 OLD TROLLEY RD STE 101",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858345",
            "telephone_number": "843-203-9393",
            "fax_number": "843-492-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "679 Orangeburg Rd Unit F",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294839038",
            "country_code": "US",
            "telephone_number": "843-261-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10825 Dorchester Rd Apt 3063",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294856058",
            "country_code": "US",
            "telephone_number": "843-471-3557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-17",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5594",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.