Nicholas Frederickson, MD
NPI 1639809130 · Anatomic Pathology & Clinical Pathology Physician · Charleston, SC
Enrolled with Medicare as Order and Referring Only - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Frederickson, MD is a Anatomic Pathology & Clinical Pathology Physician provider in Charleston, SC (NPI 1639809130).
Provider details
- NPI number
- 1639809130
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MMD.88225 (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
4 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
- 2022-06-16
- Last updated
- 2022-06-16
- Certified
- 2022-05-09
Frequently asked questions
- What is Nicholas Frederickson's NPI number?
- Nicholas Frederickson's National Provider Identifier (NPI) is 1639809130, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Frederickson's specialty?
- Nicholas Frederickson is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Nicholas Frederickson located?
- Nicholas Frederickson's practice location on file with NPPES is 171 Ashley Ave, Charleston, SC 29425-0100.
- What is Nicholas Frederickson's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Frederickson is (843) 792-1414.
- Does Nicholas Frederickson accept Medicare?
- Nicholas Frederickson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Frederickson's NPI active?
- Yes — Nicholas Frederickson's NPI (1639809130) is active in the NPPES registry as of the last update on 2022-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.