Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christi Nicole Takac

Individual provider Physician Assistant · NPI 1114780319

Christi Nicole Takac is a Physician Assistant in Mt Pleasant, South Carolina. Qualified in 2024, 2 years ago. Practices with Novant Health Southeastern Spine Institute LLC, a 31-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
2
Licensed in
SC
In the registry since
2024
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1625 Hospital Dr Ste 200
Mt Pleasant, SC 29464-3892
Phone: (843) 849-1551
Fax: (843) 884-0629
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5639 (SC)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114780319
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 1, 2024
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Novant Health Southeastern Spine Institute Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mt Pleasant