NPIMap

Individual provider Active NPI

Kimberly D Rakes-Stephens, M.D.

  • Internal Medicine Physician
  • Edisto Island, SC
National Provider Identifier
1457354888
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17943 Issued in SC
Practice address
134 Jungle Rd
Edisto Island, SC 29438-3005
Phone
(843) 897-7757
Fax
(843) 897-7877
NPI assigned
May 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 17943 SC
Internal Medicine Physician 207R00000X 17943 SC Primary

Addresses

Primary practice location

134 Jungle Rd
Edisto Island, SC 29438-3005

Mailing address

134 Jungle Rd
Edisto Island, SC 29438-3005
Phone (843) 217-1695

Other identifiers 1

IdentifierTypeStateIssuer
226954MedicaidSC

Other names 1

  • Dr. Kimberly D Rakes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420000675 SC Practitioner - Internal Medicine 1557356268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
East Tennessee State University Quillen College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

134 Jungle Rd
Edisto Island, SC 29438-3005
Phone (843) 897-7757

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
South Carolina Dept of Mental Health Accounting Current Accepting new patients
Edisto Medicine Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jul 1, 2014 Accepting new patients
Colleton Medical Hospitalists LLC Hospitalist Past Accepting new patients
Liberty Doctors LLC Internal Medicine Past Accepting new patients
Colleton Medical Anesthesia, LLC Past Accepting new patients
Coastal Inpatient Physicians, LLC Internal Medicine Past Accepting new patients

Locations

4605 Belton Hwy
Anderson, SC 29621
Phone (803) 898-8461

130 Highway 252
Anderson, SC 29621
Phone (864) 231-2600

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

134 Jungle Rd
Edisto Island, SC 29438
Phone (843) 225-8320

Interoperability endpoints

  • Direct secure messaging: krakes-stephens@libertydoctors.ssdirect.aprima.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1457354888",
    "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": "843-217-1695",
            "fax_number": "844-299-7575"
        },
        {
            "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": {
        "last_name": "RAKES-STEPHENS",
        "first_name": "KIMBERLY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "17943",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "17943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226954",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "RAKES",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edisto Island, SC

Sources for this page

Verify at the official NPI Registry.