Edisto Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EDISTO MEDICINE

Doing business as

Edisto Medicine

Practice address

134 Jungle Rd
Edisto Island, SC 29438-3005

Phone

(843) 897-7757

Fax

(843) 897-7877

NPI assigned

Dec 5, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Dawn Rakes-StephensNPI 1457354888

Title

MD

Phone

(843) 217-1695

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Edisto Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly D Rakes-Stephens, M.D.

  • Internal Medicine Physician
  • Edisto Island, SC
  • NPI 1457354888
  Medicare reassignment NPD Authorized official
• Jennifer D. Walker, APRN

  • Family Nurse Practitioner
  • Edisto Island, SC
  • NPI 1437411097
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1073476198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 JUNGLE RD",
            "city": "EDISTO ISLAND",
            "state": "SC",
            "postal_code": "294383005",
            "telephone_number": "843-897-7757",
            "fax_number": "843-897-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 JUNGLE RD",
            "city": "EDISTO ISLAND",
            "state": "SC",
            "postal_code": "294383005",
            "telephone_number": "843-897-7757",
            "fax_number": "843-897-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISTO MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "RAKES-STEPHENS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "843-217-1695"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "17943",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edisto Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca J Borders, DO
• Erin Cain, RN
• Edisto Dental Associates of SC, LLC
• Edisto RX, LLC
• Fetter Health Care Network Inc
• Morgan Greb, RN
• Christine N. Houser, APRN
• Courtney Jennings, OTR/L

• Internal Medicine Physician in Edisto Island, SC
• Providers in Edisto Island, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.