Active NPI
Rodney Darrell Lockwood
- Contractor
- Huger, SC
National Provider Identifier
1588065056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- CA007999
- Practice address
- 109 Zulu Dr
Huger, SC 29450-9455 - Phone
- (843) 860-7325
- NPI assigned
- Sep 15, 2014
- Last updated
- Sep 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | CA007999 | SC | Primary |
Addresses
Primary practice location
109 Zulu Dr
Huger, SC 29450-9455
Mailing address
109 Zulu Dr
Huger, SC 29450-9455
Phone (843) 860-7325
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA007999 | SC | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410739200000",
"number": "1588065056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 ZULU DR",
"city": "HUGER",
"state": "SC",
"postal_code": "294509455",
"telephone_number": "843-860-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 ZULU DR",
"city": "HUGER",
"state": "SC",
"postal_code": "294509455",
"telephone_number": "843-860-7325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKWOOD",
"first_name": "RODNEY",
"middle_name": "DARRELL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-15",
"last_updated": "2014-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "SC",
"license": "CA007999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huger, SC
- Sharon Michelle Burns, CERTIFIED MEDICAL AS
- CJS Medical Services, PC (Nucor Berkeley Family Medical Center)
- Angela Rose Engle, MA, NCC
- Margaretta C. Grimm, APN
- Kristi Ann Jones, LMFTA
- Eunice Price Moore, LISW-CP
- Palmetto Restorative Therapy
- Jacqueline Pryor
- Megan Kathleen Shanahan, RDN, LD
- Andrew Fred Tyler, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.