Active NPI
Edmund Rhett, Jr., M.D., P.a.
- Gynecology Physician
- Mt Pleasant, SC
National Provider Identifier
1104997261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 8257
- Legal business name
- EDMUND RHETT, JR., M.D., P.A.
- Practice address
- 1300 Hospital Dr Ste 150
Mt Pleasant, SC 29464-3243 - Phone
- (843) 375-2210
- Fax
- (843) 375-2214
- NPI assigned
- Nov 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edmund Rhett Jr., M.D.
- Title
- President
- Phone
- (843) 375-2210
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 8257 | SC | Primary |
Addresses
Primary practice location
1300 Hospital Dr Ste 150
Mt Pleasant, SC 29464-3243
Mailing address
1300 Hospital Dr Ste 150
Mt Pleasant, SC 29464-3243
Phone (843) 375-2210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4566 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2002 S Fraser St
Georgetown, SC 29440
913 Bowman Rd
Mt Pleasant, SC 29464
Phone (843) 284-6858
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Mt Pleasant, SC
- NPI 1831185990
-
- Gynecology Physician
- Mt Pleasant, SC
- NPI 1609834068
-
- Advanced Practice Midwife
- Mt Pleasant, SC
- NPI 1104001551
-
- Medical Physician Assistant
- Mt Pleasant, SC
- NPI 1992079545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493596800000",
"number": "1104997261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 HOSPITAL DR STE 150",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643243",
"telephone_number": "843-375-2210",
"fax_number": "843-375-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HOSPITAL DR STE 150",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643243",
"telephone_number": "843-375-2210",
"fax_number": "843-375-2214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDMUND RHETT, JR., M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-12",
"last_updated": "2017-05-01",
"status": "A",
"authorized_official_last_name": "RHETT",
"authorized_official_first_name": "EDMUND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-375-2210",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "SC",
"license": "8257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4566",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.