Individual provider Active NPI

Rita Y Raines, FNP

  • Family Medicine Physician
  • Columbia, SC
National Provider Identifier
1386162980
Registry record updated Sep 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F06172631 Issued in SC
Practice address
551 Granby LN
Columbia, SC 29201-4655
Phone
(864) 530-2008
NPI assigned
Sep 2, 2017
Last updated
Sep 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F06172631 SC Primary

Addresses

Primary practice location

551 Granby LN
Columbia, SC 29201-4655

Mailing address

95 Laurel LN
Campobello, SC 29322-9212
Phone (284) 589-7748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180425001721 NC Practitioner - Nurse Practitioner 7416215660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

349 New Leiceser Hwy
Asheville, NC 28806-2046
Phone (828) 463-3238

674 Merrimon Ave
Suite 101
Asheville, NC 28804-3586
Phone (828) 348-7418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06172631SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medicorp Enterprises, LLC CurrentSince Jan 30, 2024 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Jan 30, 2024 Accepting new patients
Carolina Medicorp Enterprises Inc Nurse Practitioner Past Accepting new patients

Locations

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

Interoperability endpoints

  • Direct secure messaging: rraines1151743@direct.novanthealth.org

Organizations & group practices 3

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": "1504310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504310400000",
    "number": "1386162980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 LAUREL LN",
            "city": "CAMPOBELLO",
            "state": "SC",
            "postal_code": "293229212",
            "telephone_number": "284-589-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 GRANBY LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292014655",
            "telephone_number": "864-530-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINES",
        "first_name": "RITA",
        "middle_name": "Y",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-02",
        "last_updated": "2017-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "F06172631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.