DR. GINA LARISSA AECKERSBERG MD
NPI 1992296818
Pediatrics - Pediatric Nephrology in Charleston, SC

Q: What is Gina Aeckersberg's NPI number?

The NPI number for Gina Aeckersberg is 1992296818. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Q: What is Gina Aeckersberg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Q: When was this NPI record last updated?

The NPPES record for Gina Aeckersberg was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 25, 2018PECOS Enrolled

169 ASHLEY AVE RM 202, CHARLESTON, SC 29425(937) 272-4976 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2023, Apr 4, 2022, May 25, 2018 (3 updates tracked since 2018).

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About Dr. Gina Larissa Aeckersberg Md NPPES

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

DR. GINA LARISSA AECKERSBERG MD (NPI 1992296818) is an individual pediatric nephrology provider in Charleston, South Carolina, licensed in South Carolina (89678) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1992296818

Entity TypeIndividualFemale

Primary Taxonomy2080P0210X

Provider Legal NameDR. GINA LARISSA AECKERSBERGCredential: MD

Location Address169 ASHLEY AVE RM 202Charleston, SC 29425-8905

Mailing Address169 Ashley Ave Rm 202Charleston, SC 29425-8905 · (937) 272-4976

Phone(937) 272-4976

Sole ProprietorNo

Enumeration DateMay 25, 2018

Last NPPES UpdateMay 2, 20233 updates tracked since enumeration

NPPES CertifiedMay 2, 2023

✔ NPI 1992296818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

License✔ Licensed in SC · 89678

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Also ListedPediatricsTaxonomy 208000000X · License 47374 (TX)

169 ASHLEY AVE RM 202, Charleston, SC 29425

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Secondary Practice Location 1

Location 14502 Medical DrSan Antonio, TX 78229-4402 · Phone (210) 562-5365 · Fax (210) 358-2095

Other Identifiers 2

Other426932602TX · Cshcn

Medicaid426932601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gina Larissa Aeckersberg Md 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.

Other Providers at the Same Location NPPES 20

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

SANAA ABDELMAGEED MD

Surgery