ACI SURGICAL ASSOCIATES
NPI 1083862882
Surgery - Surgical Oncology in Okatie, SC

Q: What is Provident Health Surgical Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Active since September 04, 2008

14 OKATIE CENTER BLVD. SOUTH, SUITE 101, OKATIE, SC 29909(912) 350-2299(912) 350-2298 Get Directions Write a Review

NPPES record last updated: May 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Aci Surgical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACI SURGICAL ASSOCIATES (NPI 1083862882) is a healthcare organization registered as a surgical oncology in Okatie, South Carolina and active in the NPI registry since September 2008. The organization lists Robin J. Maddox, Provider Enrollment Coordinator, as its authorized official.

NPPES Registry Identity

NPI1083862882

Entity TypeOrganization

Primary Taxonomy2086X0206X

Legal Business NamePROVIDENT HEALTH SURGICAL ASSOCIATES, INC.

Location Address14 OKATIE CENTER BLVD. SOUTH, SUITE 101Okatie, SC 29909

Mailing AddressPo Box 102019Atlanta, GA 30368-2019 · (912) 350-2299 · Fax (912) 350-2298

Phone(912) 350-2299

Fax(912) 350-2298

Organization SubpartNo

Authorized OfficialRobin J. MaddoxProvider Enrollment Coordinator · (912) 350-9335

Enumeration DateSeptember 4, 2008

Last NPPES UpdateMay 3, 2011

✔ NPI 1083862882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedObstetrics & Gynecology · Gynecologic OncologyTaxonomy 207VX0201X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedSurgeryTaxonomy 208600000X

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X

14 OKATIE CENTER BLVD. SOUTH, Okatie, SC 29909

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Other Names 1

Doing Business AsAci Surgical Associates

Other Identifiers 3

MedicaidGP5024SC

OtherDO4198SC · Rr Medicare

Medicare PIN9141SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MPPG, INC.

Surgery