NPIMap

Individual provider Active NPI

Paul A Rhodes, CRNP-C

  • Family Nurse Practitioner
  • Tabor City, NC
National Provider Identifier
1558887463
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-131083 Issued in AL
Practice address
270 N US Highway 701 Byp
Tabor City, NC 28463-9324
Phone
(205) 223-3777
NPI assigned
Aug 22, 2017
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-131083 AL Primary

Addresses

Primary practice location

270 N US Highway 701 Byp
Tabor City, NC 28463-9324

Mailing address

619 Tupelo LN # 2a
Longs, SC 29568-8965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180626003561 NC Practitioner - Nurse Practitioner 4183979560 Reassigns benefits to 1 organization
I20240429001315 SC Practitioner - Nurse Practitioner 4183979560 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
Gomed Charleston LLCGroup PAC ID 6608114251, 8 clinicians

Practice addresses (Care Compare)

1671 Belle Isle Ave
Suite 110J
Mount Pleasant, SC 29464-8336
Phone (844) 994-6633

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-131083ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated CurrentSince Apr 16, 2018 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Apr 16, 2018 Accepting new patients
Gomed Charleston LLC CurrentSince Apr 15, 2024 Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients
Goshen Medical Center Incorporated Past Accepting new patients

Locations

2011 Commerce Dr N
Peachtree City, GA 30269
Phone (844) 994-6633

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

270 N US Highway 701 Byp
Tabor City, NC 28463
Phone (706) 830-0277

1671 Belle Isle Ave
Ste 110J
Mt Pleasant, SC 29464
Phone (844) 994-6633

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22872/brand/2/csg/1/fhir/r4
  • Direct secure messaging: paul.rhodes.1@22872.direct.athenahealth.com
  • Direct secure messaging: prhodes@goshenmedical.cloudcraftdirect.com

Organizations & group practices 5

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.

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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1558887463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 TUPELO LN # 2A",
            "city": "LONGS",
            "state": "SC",
            "postal_code": "295688965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N US HIGHWAY 701 BYP",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284639324",
            "telephone_number": "205-223-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "CRNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-131083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tabor City, NC

Sources for this page

Verify at the official NPI Registry.