PROVIDENT HEALTH SERVICES, INC. – NPI #1366519530
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Health Care Provider Taxonomy Code for Surgery

PROVIDENT HEALTH SERVICES, INC. is a surgeon located in BLUFFTON, SC. NPPES has assigned the NPI number 1366519530 to PROVIDENT HEALTH SERVICES, INC. on November 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENT HEALTH SERVICES, INC. below.

NPI Profile for
PROVIDENT HEALTH SERVICES, INC.

NPI Number
1366519530
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENT HEALTH SERVICES, INC.
Primary location
7 MALLET WAY
BLUFFTON, SC 29910-6064
Phone: (912) 350-7412 Fax: (912) 350-7297
Mailing address
PO BOX 933213
ATLANTA, GA 31193-1968
Phone: (912) 350-7412 Fax: (912) 350-7297
Organization Subpart
No
Authorized Official
ROBIN MADDOX
PROVIDER ENROLLMENT COORDINATOR
Phone: (912) 350-9335
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)
2086X0206X
- Surgery / Surgical Oncology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.