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PROVIDENT HEALTH SERVICES, INC.
NPI 1366519530
Surgery in Bluffton, SC

Active since November 30, 2006
7 MALLET WAY, BLUFFTON, SC 29910(912) 350-7412(912) 350-7297 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Provident Health Services, Inc. NPPES

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

PROVIDENT HEALTH SERVICES, INC. (NPI 1366519530), doing business as Aci Surgical Associates, is a healthcare organization registered as a surgery in Bluffton, South Carolina and active in the NPI registry since November 2006. The organization lists Robin J. Maddox, Provider Enrollment Coordinator, as its authorized official.

NPPES Registry Identity

NPI1366519530
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePROVIDENT HEALTH SERVICES, INC.
Location Address7 MALLET WAYBluffton, SC 29910-6064
Mailing AddressPo Box 933213Atlanta, GA 31193-1968 · (912) 350-7412 · Fax (912) 350-7297
Phone(912) 350-7412
Fax(912) 350-7297
Organization SubpartNo
Authorized OfficialRobin J. MaddoxProvider Enrollment Coordinator · (912) 350-9335
Enumeration DateNovember 30, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1366519530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X
7 MALLET WAY, Bluffton, SC 29910
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Other Names 1

Doing Business AsAci Surgical Associates

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 2

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

MPPG, INC.
Surgery (Vascular Surgery)
7 MALLET WAY
BLUFFTON, SC 29910
Beaufort County (912) 350-5961
MPPG, INC.
Obstetrics & Gynecology (Gynecologic Oncology)
7 MALLET WAY
BLUFFTON, SC 29910
Beaufort County (912) 350-3676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Provident Health Services, Inc.'s NPI number?

The NPI number for Provident Health Services, Inc. is 1366519530. It was assigned to this organization in the NPPES registry on November 30, 2006. The provider is doing business as ACI Surgical Associates.

Where is Provident Health Services, Inc. located?

Provident Health Services, Inc. is located at 7 Mallet Way, Bluffton, SC 29910. The listed phone number is (912) 350-7412.

What is Provident Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Provident Health Services, Inc. was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.