Active NPI
Rachel R Ford, MD
- Pediatrics Physician
- Anderson, SC
National Provider Identifier
1043660558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- LL39741
- Practice address
- 2000 E Greenville St Ste 3000
Anderson, SC 29621-1723 - Phone
- (864) 512-6760
- Fax
- (864) 224-3773
- NPI assigned
- Jun 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | LL39741 | SC | Primary |
Addresses
Primary practice location
2000 E Greenville St Ste 3000
Anderson, SC 29621-1723
Mailing address
PO Box 100174
Columbia, SC 29202-3174
Phone (648) 512-6760
Other practice location 1
701 Grove Rd
Balcony Suite 5
Greenville, SC 29605-4210
Phone (864) 455-7895 ext. 57895
Other names 1
- Rachel M Reynolds
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160819000034 | SC | Order and Referring Only - Pediatric Medicine | 0547555211 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL39741 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Past | Accepting new patients |
Interoperability endpoints
- rford36828@direct.anmedhealth.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Anderson, SC
- NPI 1861761090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1043660558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100174",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292023174",
"telephone_number": "648-512-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E GREENVILLE ST STE 3000",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211723",
"telephone_number": "864-512-6760",
"fax_number": "864-224-3773"
}
],
"practiceLocations": [
{
"address_1": "701 Grove Rd",
"address_2": "Balcony Suite 5",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054210",
"country_code": "US",
"telephone_number": "864-455-7895 x57895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORD",
"first_name": "RACHEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "LL39741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "REYNOLDS",
"middle_name": "M",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.