Edisto Obgyn PA
NPI 1467407155 · Obstetrics & Gynecology Physician · Orangeburg, SC
Edisto Obgyn PA is a Obstetrics & Gynecology Physician organization in Orangeburg, SC (NPI 1467407155).
Provider details
- NPI number
- 1467407155
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jerome Degen, President(803) 536-9390
- License
- 07054 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2008-01-09
Frequently asked questions
- What is Edisto Obgyn PA's NPI number?
- Edisto Obgyn PA's National Provider Identifier (NPI) is 1467407155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edisto Obgyn PA?
- Edisto Obgyn PA is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Edisto Obgyn PA located?
- Edisto Obgyn PA's practice location on file with NPPES is 1175 Cook Rd, Orangeburg, SC 29118.
- What is Edisto Obgyn PA's phone number?
- The practice phone number listed in the NPPES registry for Edisto Obgyn PA is (803) 536-9390.
- Who is the authorized official for Edisto Obgyn PA?
- The authorized official listed on Edisto Obgyn PA's NPPES record is Jerome Degen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edisto Obgyn PA's NPI active?
- Yes — Edisto Obgyn PA's NPI (1467407155) is active in the NPPES registry as of the last update on 2008-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.