Rearden Internal Medicine & Geriatrics LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

REARDEN INTERNAL MEDICINE & GERIATRICS LLC

Practice address

1205 Wisteria Rd
Charleston, SC 29407-5226

Phone

(843) 277-2771

Fax

(843) 277-2778

NPI assigned

Feb 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Gail Lashun Rearden, M.D.NPI 1568582906

Title

Owner

Phone

(843) 277-2771

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7951/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Gail L Rearden, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Spartanburg, SC
  • NPI 1568582906
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432425600000",
    "number": "1245552843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 2191",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294883933",
            "telephone_number": "843-277-2771",
            "fax_number": "843-277-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 WISTERIA RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075226",
            "telephone_number": "843-277-2771",
            "fax_number": "843-277-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REARDEN INTERNAL MEDICINE & GERIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2015-05-24",
        "status": "A",
        "authorized_official_last_name": "REARDEN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "LASHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-277-2771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "42D2093779",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302586",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLAI WAIVER",
            "identifier": "42D2052192",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chantella Raynor, L.A.C
• Jacob Morgan Read, MD
• Alfia M Reagan, PA
• Renee Grace Reagan, LMSW
• Emily Helen Reams, M.D.
• Christopher John Reardon, MD
• Ellis Reavis
• Rebel Pediatric Therapy LLC
• Recalibrate Health, LLC
• Benjamin Corwin Record, MD

• Geriatric Medicine (Internal Medicine) Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Geriatric Medicine (Internal Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2015; 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.