Individual provider Active NPI

Rufus Haynes Cain

  • Family Medicine Physician
  • Bennettsville, SC
National Provider Identifier
1467565515
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11388 Issued in SC
Practice address
999 Cheraw St
Bennettsville, SC 29512-2420
Phone
(843) 479-2341
NPI assigned
Aug 15, 2006
Last updated
Oct 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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 11388 SC Primary

Addresses

Primary practice location

999 Cheraw St
Bennettsville, SC 29512-2420

Mailing address

PO Box 2257
Laurinburg, NC 28353-2257
Phone (910) 610-4011

Other identifiers 1

IdentifierTypeStateIssuer
113889MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628001030 SC Practitioner - Family Practice 9739165903 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11388SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc CurrentSince Oct 12, 2015 Accepting new patients
Scotland Memorial Hospital Inc Family Medicine Current Accepting new patients
Scotland Memorial Hospital, Inc CurrentSince Oct 12, 2015 Accepting new patients

Locations

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

1007 Cheraw St
Bennettsville, SC 29512
Phone (843) 479-8357

957 Cheraw St
Bennettsville, SC 29512
Phone (843) 454-0245

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1467565515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2257",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283532257",
            "telephone_number": "910-610-4011",
            "fax_number": "910-276-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 CHERAW ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295122420",
            "telephone_number": "843-479-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "RUFUS",
        "middle_name": "HAYNES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "11388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113889",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennettsville, SC

Sources for this page

Verify at the official NPI Registry.