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WALTERBORO OB/GYN
NPI 1679510416
Obstetrics & Gynecology in Walterboro, SC

Active since June 01, 2006CLIA 42D0251420 · Microscopy
400 CONSTANCE ST, WALTERBORO, SC 29488(843) 549-9568(843) 549-1530 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walterboro Ob/gyn NPPES

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

WALTERBORO OB/GYN (NPI 1679510416) is a healthcare organization registered as an obstetrics & gynecology in Walterboro, South Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through September 1, 2026 and lists Christy B. Martin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1679510416
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameTRENT CANNON & RIDDICK ACKERMAN III
Location Address400 CONSTANCE STWalterboro, SC 29488-2710
Mailing Address400 Constance StWalterboro, SC 29488-2710 · (843) 549-9568 · Fax (843) 549-1530
Phone(843) 549-9568
Fax(843) 549-1530
Organization SubpartNo
Authorized OfficialChristy B. MartinOffice Manager · (843) 549-9568
Enumeration DateJune 1, 2006
Last NPPES UpdateJune 19, 2008
✔ NPI 1679510416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
400 CONSTANCE ST, Walterboro, SC 29488
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Other Names 1

Doing Business AsWalterboro Ob/gyn

Other Identifiers 2

Medicare UPIN3595SC
MedicaidGP0529SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D0251420

Coastal Carolina Multispeciality Associates, LLC Dba Walterboro Ob/Gyn · Walterboro, SC
Active · expires Sep 1, 2026
CLIA Number42D0251420
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorTodd L. Allen
Laboratory Phone(843) 549-9568
Laboratory LocationCoastal Carolina Multispeciality Associates, LLC Dba Walterboro Ob/Gyn302 Medical Plaza Drive Suite 211, Walterboro, SC 29488
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

DR. RIDDICK ACKERMAN III M.D.
Obstetrics & Gynecology
400 CONSTANCE ST
WALTERBORO, SC 29488
Colleton County (843) 549-9568
ANGELA COWART FISHER M.D.
Obstetrics & Gynecology
400 CONSTANCE ST
WALTERBORO, SC 29488
Colleton County (843) 549-9568
DR. TRENT EDWARD CANNON M.D.
Obstetrics & Gynecology
400 CONSTANCE ST
WALTERBORO, SC 29488
Colleton County (843) 549-9568
MRS. CHRISTINA BASHNAN MARTIN N.P.
Nurse Practitioner (Family)
400 CONSTANCE ST
WALTERBORO, SC 29488
Colleton County (843) 549-9568

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 Trent Cannon & Riddick Ackerman III's NPI number?

The NPI number for Trent Cannon & Riddick Ackerman III is 1679510416. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is doing business as Walterboro Ob/Gyn.

Where is Trent Cannon & Riddick Ackerman III located?

Trent Cannon & Riddick Ackerman III is located at 400 Constance St, Walterboro, SC 29488. The listed phone number is (843) 549-9568.

What is Trent Cannon & Riddick Ackerman III's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Trent Cannon & Riddick Ackerman III hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0251420) is associated with this NPI, valid through September 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Trent Cannon & Riddick Ackerman III was last updated on June 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.