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Provident Health Surgical Associates, Inc.

Surgical Oncology Physician in Okatie, SC · enumerated 2008 · authorized official Robin Maddox, Provider Enrollment Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083862882

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Registry record

Entity type Organization (Type 2)
Legal business name Provident Health Surgical Associates, Inc.
Other name <Unavail>
Practice address 14 Okatie Center Blvd. South, Suite 101, Okatie, SC, 29909
Phone (912) 350-2299
Fax (912) 350-2298
Enumeration date Sep 4, 2008
Last updated in NPPES May 3, 2011

Taxonomy & classification

207VX0201X Gynecologic Oncology Physician Allopathic & Osteopathic Physicians Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
2086S0102X Surgical Critical Care Physician Allopathic & Osteopathic Physicians Secondary
2086X0206X Surgical Oncology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Robin Maddox
Title Provider Enrollment Coordinator
Phone (912) 350-9335

Other identifiers

Identifier Type State Issuer
GP5024 Medicaid SC -
DO4198 Other SC RR MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Provident Health Surgical Associates, Inc.?
The NPI for Provident Health Surgical Associates, Inc. is 1083862882, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Provident Health Surgical Associates, Inc.?
NPPES lists Robin Maddox (Provider Enrollment Coordinator) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-03.