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SUMMERVILLE SURGICAL ASSOCIATES, PA
NPI 1902967912
Specialist in Summerville, SC

Active since December 13, 2006
87 SPRINGVIEW LN, SUITE A, SUMMERVILLE, SC 29485(843) 851-0200(843) 851-9398 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summerville Surgical Associates, Pa NPPES

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

SUMMERVILLE SURGICAL ASSOCIATES, PA (NPI 1902967912) is a healthcare organization registered as a specialist in Summerville, South Carolina and active in the NPI registry since December 2006. The organization lists Gerald C. Warren, Owner Of Business, as its authorized official.

NPPES Registry Identity

NPI1902967912
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSUMMERVILLE SURGICAL ASSOCIATES, PA
Location Address87 SPRINGVIEW LN, SUITE ASummerville, SC 29485-8154
Mailing Address87 Springview Ln, Suite ASummerville, SC 29485-8154 · (843) 851-0200 · Fax (843) 851-9398
Phone(843) 851-0200
Fax(843) 851-9398
Organization SubpartNo
Authorized OfficialGerald C. WarrenOwner Of Business · (843) 851-0200
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1902967912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 15402
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
87 SPRINGVIEW LN, Summerville, SC 29485
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Other Identifiers 1

MedicaidGP0766SC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 7

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

DR. SUZANN HUTTO WEATHERS M.D.
Family Medicine
87 SPRINGVIEW LN
SUMMERVILLE, SC 29485
Dorchester County (843) 876-7979
CAROLINA FAMILY CARE, INC
Family Medicine
87 SPRINGVIEW LN
SUMMERVILLE, SC 29485
Dorchester County (843) 876-7979
LUCINA AVILA KIDD D.O.
Family Medicine
87 SPRINGVIEW LN
SUMMERVILLE, SC 29485
Dorchester County (843) 876-7979
HEIDI LYNN TATUM PA-C
Physician Assistant
87 SPRINGVIEW LN
SUMMERVILLE, SC 29485
Dorchester County (843) 876-7979
MRS. KELLY G PASSARELLO PA-C
Family Medicine (Adult Medicine)
87 SPRINGVIEW LN
SUMMERVILLE, SC 29485
Dorchester County (843) 876-7979
MRS. ASHLEY ELIZABETH VALIQUETTE DNP, APRN, AGNP-C
Nurse Practitioner (Primary Care)
87 SPRINGVIEW LN
SUMMERVILLE, SC 29485
Dorchester County (843) 876-7979
CHERIKA STEPHANIE GADSON NP-C
Nurse Practitioner (Family)
87 SPRINGVIEW LN
SUMMERVILLE, SC 29485
Dorchester County (843) 876-7979

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 Summerville Surgical Associates, PA's NPI number?

The NPI number for Summerville Surgical Associates, PA is 1902967912. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Summerville Surgical Associates, PA located?

Summerville Surgical Associates, PA is located at 87 Springview Ln Suite A, Summerville, SC 29485. The listed phone number is (843) 851-0200.

What is Summerville Surgical Associates, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Summerville Surgical Associates, PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Summerville Surgical Associates, PA 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 Summerville Surgical Associates, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.