Individual provider Active NPI

Rachel Dawn Ellyn, MD

  • Ophthalmology Physician
  • Ladson, SC
National Provider Identifier
1669966040
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
52790 Issued in SC
Practice address
9565 Highway 78 BLDG 200
Ladson, SC 29456-4118
Phone
(843) 553-2477
Fax
(843) 553-2478
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 52790 SC Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 52790 SC

Addresses

Primary practice location

9565 Highway 78 BLDG 200
Ladson, SC 29456-4118

Mailing address

9565 Highway 78 BLDG 200
Ladson, SC 29456-4118
Phone (843) 553-2477

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rellyn@lceyes.intellechartdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220625000177 AL Practitioner - Ophthalmology 3678827441 Reassigns benefits to 2 organizations
I20230503000107 SC Practitioner - Ophthalmology 3678827441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical University of South Carolina College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cataract and Laser Center of CharlestonGroup PAC ID 3678637147, 4 clinicians

Practice addresses (Care Compare)

9565 Hwy 78
BLDG 200
Ladson, SC 29456-4118
Phone (843) 553-2477

Merit-based Incentive Payment System (MIPS)

Final score
91.76 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uab Callahan Eye Hospital Authority Current Accepting new patients
Uab Callahan Eye Hospital Authority Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
University of Alabama Ophthalmology Services Foundation Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Cataract and Laser Center of Charleston Ophthalmology CurrentSince Jun 1, 2023 Accepting new patients
University of Alabama at Birmingham Past Accepting new patients

Locations

1720 University Blvd
Ste 305
Birmingham, AL 35233
Phone (205) 325-8100

1720 University Blvd
Birmingham, AL 35233
Phone (205) 325-8387

700 18th St S
Ste 601
Birmingham, AL 35233
Phone (205) 325-8507

9565 Highway 78
Bldg 200
Ladson, SC 29456
Phone (843) 553-2477

Interoperability endpoints

  • Direct secure messaging: rellyn@lceyes.intellechartdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1669966040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9565 HIGHWAY 78 BLDG 200",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564118",
            "telephone_number": "843-553-2477",
            "fax_number": "843-553-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9565 HIGHWAY 78 BLDG 200",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564118",
            "telephone_number": "843-553-2477",
            "fax_number": "843-553-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLYN",
        "first_name": "RACHEL",
        "middle_name": "DAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "52790",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "SC",
            "license": "52790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rellyn@lceyes.intellechartdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9565 Highway 78 Bldg 200",
            "city": "Ladson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294564118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

Verify at the official NPI Registry.