Individual provider Active NPI

Forte C. Rabb, MEDICAL DOCTOR

  • Dermatology Physician
  • Hilton Head, SC
National Provider Identifier
1285616839
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
28389 Issued in SC
Practice address
3901 Main St
Suite D
Hilton Head, SC 29926-4614
Phone
(843) 705-0840
Fax
(843) 705-0890
NPI assigned
Nov 18, 2005
Last updated
Jul 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 11448 GA
Specialist 174400000X 28389 SC
Dermatology Physician 207N00000X 28389 SC Primary

Addresses

Primary practice location

3901 Main St
Suite D
Hilton Head, SC 29926-4614

Mailing address

PO Box 2801
Bluffton, SC 29910-2801
Phone (843) 705-0840

Other identifiers 1

IdentifierTypeStateIssuer
00089614AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28389SCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Dermatology, PA Dermatology PastSince Jan 2, 2006 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1285616839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2801",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299102801",
            "telephone_number": "843-705-0840",
            "fax_number": "843-705-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MAIN ST",
            "address_2": "SUITE D",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299264614",
            "telephone_number": "843-705-0840",
            "fax_number": "843-705-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABB",
        "first_name": "FORTE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "11448",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "28389",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "28389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00089614A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.