Antionette Akia Bennett, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33166 Issued in SC

Practice address

8901 University Blvd
N Charleston, SC 29406-9116

Phone

(843) 203-2245

Fax

(843) 203-2244

NPI assigned

May 7, 2008

Last updated

Jul 21, 2022By 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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Curana Health of South Carolina PC

  • Internal Medicine Physician
  • North Charleston, SC
  • NPI 1316477896
  Medicare reassignment NPD
• Edisto Regional Health Services Inc.

  • Pediatrics Physician
  • Orangeburg, SC
  • NPI 1285692681

  Family Medicine

  Medicare reassignment NPD
• Roper Saint Francis Physicians Network

  dba Roper St. Francis Physician Partners General Surgery

  • Surgery Physician
  • Charleston, SC
  • NPI 1124431606
  Medicare reassignment NPD
• Edisto Regional Health Services Inc

  dba RMC Primary Care Bowman

  • Rural Health Clinic/Center
  • Bowman, SC
  • NPI 1922756352
  NPD
• Edisto Regional Health Services Inc.

  dba RMC Primary Care

  • Rural Health Clinic/Center
  • Orangeburg, SC
  • NPI 1548529696

  Family Medicine

  NPD
• Roper Saint Francis Physicians Network

  dba Roper St. Francis Express Care

  • Family Medicine Physician
  • N Charleston, SC
  • NPI 1750834271
  NPD
• Roper Saint Francis Physicians Network

  dba Roper St. Francis Physician Partners Charleston OB/GYN

  • Obstetrics & Gynecology Physician
  • Charleston, SC
  • NPI 1811857352
  NPD

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871769968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "843-789-1620",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 UNIVERSITY BLVD",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069116",
            "telephone_number": "843-203-2245",
            "fax_number": "843-203-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ANTIONETTE",
        "middle_name": "AKIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "33166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331661",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Bare
• Reginald B Basley
• Thaddeus John Bell, MD
• Donald E Bellebaum, D.D.S.
• Bennett Chiropractic Center
• Timothy C Bennett, D.O.C
• Thomas Richard Bolt, MD
• Bon Secours St Francis Xavier Hospital, Inc. (Charleston Oncology A Department of Bon Secours St. Francis Hospital)
• Bon Secours St. Francis Xavier Hosptial, Inc. (Lowcountry Hematology and Oncology A Department of BSSFH)
• Mary Heather Bond, ATC

• Family Medicine Physician in N Charleston, SC
• Providers in N Charleston, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.