DR. MEDGINE CHRISTIE ETIENNE DDS
NPI 1750027397
Dentist in Indian Land, SC

Active since May 06, 2022PECOS Enrolled
1028 EDGEWATER CORPORATE PKWY STE 101, INDIAN LAND, SC 29707(803) 835-2500 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 29, 2023, May 6, 2022 (2 updates tracked since 2022).

About Dr. Medgine Christie Etienne Dds NPPES

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

DR. MEDGINE CHRISTIE ETIENNE DDS (NPI 1750027397) is an individual dentist in Indian Land, South Carolina, licensed in South Carolina (11256) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750027397
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MEDGINE CHRISTIE ETIENNECredential: DDS
Location Address1028 EDGEWATER CORPORATE PKWY STE 101Indian Land, SC 29707-0187
Mailing Address1028 Edgewater Corporate PkwyIndian Land, SC 29707-0107 · (803) 835-2500
Sole ProprietorYes
Enumeration DateMay 6, 2022
Last NPPES UpdateOctober 30, 20252 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
✔ NPI 1750027397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SC · 11256
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1028 EDGEWATER CORPORATE PKWY STE 101, Indian Land, SC 29707

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Medgine Christie Etienne Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Medgine Etienne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
10875 AVENUE D
Brooklyn, NY 11236
  • Reassigned Medicare billing, New York enrollment
  • 43 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Dental Hygienist
1028 EDGEWATER CORPORATE PKWY STE 101
INDIAN LAND, SC 29707
Dentist (General Practice)
1028 EDGEWATER CORPORATE PKWY STE 101
INDIAN LAND, SC 29707

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 Medgine Etienne's NPI number?

The NPI number for Medgine Etienne is 1750027397. It was assigned to this individual provider in the NPPES registry on May 6, 2022.

Where is Medgine Etienne located?

Medgine Etienne practices at 1028 Edgewater Corporate Pkwy Ste 101, Indian Land, SC 29707. The listed phone number is (803) 835-2500.

What is Medgine Etienne's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Medgine Etienne enrolled in Medicare?

Yes. Medgine Etienne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Medgine Etienne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Medgine Etienne reassigns Medicare benefits to The Floating Hospital Inc. (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Medgine Etienne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Medgine Etienne accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 15 other insurers list Medgine Etienne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medgine Etienne was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.