Active NPI
Christina Marie Cottrell, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21460
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP5594 | Medicaid | SC |
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Current | 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
- 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.
-
dba PPCP Canterbury House
- Family Medicine Physician
- Charleston, SC
- NPI 1073234928
-
- Family Medicine Physician
- Goose Creek, SC
- NPI 1154605707
-
- Family Medicine Physician
- Summerville, SC
- NPI 1366123739
-
- Family Medicine Physician
- N Charleston, SC
- NPI 1629017694
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health of Charleston
- Home Health Agency
- North Charleston, SC
- NPI 1033177290
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
-
dba HCA Healthcare Trident Hospital
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
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
- Cornerstone Chiropractic LLC
- Dawn Marie Corso, M.D.
- Jennifer Brown Corvino, PHARM D
- Patricia L Costilla, LPC
- Shannon Nicole Cote, COTA/L
- Maura Elizabeth Coughlin
- De'Andrea Coulter
- Counseling and Consultation Services of the Carolinas, LLC (CCubed Services, LLC)
- Erin Courtney, LISW-CP
- Covenant Counseling Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.
- 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.