Individual provider Active NPI

Rochelle C Rutledge, M.D.

  • Family Medicine Physician
  • Sullivans Island, SC
National Provider Identifier
1699750893
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9305 Issued in SC
Practice address
306 Station 22 1/2 St
Sullivans Island, SC 29482-9756
Phone
(843) 883-3176
Fax
(843) 883-3176
NPI assigned
Dec 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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 9305 SC Primary

Addresses

Primary practice location

306 Station 22 1/2 St
Sullivans Island, SC 29482-9756

Mailing address

306 Station 22 1/2 St
Sullivans Island, SC 29482-9756
Phone (843) 883-3176

Other identifiers 1

IdentifierTypeStateIssuer
GP3335MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Rochelle.Rutledge@rsfpp.eclinicaldirectplus.com Direct

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
I20080728000542 SC Practitioner - Family Practice 3173697984 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network Current Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Feb 9, 2020 Accepting new patients
Roper Saint Francis Physicians Network Family Medicine CurrentSince Feb 9, 2020 Accepting new patients

Locations

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

900 Bowman Rd
Ste 203
Mt Pleasant, SC 29464
Phone (843) 884-1341

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • Direct secure messaging: rrutledge1236547@direct.bsmhealth.org
  • Direct secure messaging: rochelle.rutledge@rsfpp.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1699750893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 STATION 22 1/2 ST",
            "city": "SULLIVANS ISLAND",
            "state": "SC",
            "postal_code": "294829756",
            "telephone_number": "843-883-3176",
            "fax_number": "843-883-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 STATION 22 1/2 ST",
            "city": "SULLIVANS ISLAND",
            "state": "SC",
            "postal_code": "294829756",
            "telephone_number": "843-883-3176",
            "fax_number": "843-883-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "ROCHELLE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "9305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3335",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rochelle.Rutledge@rsfpp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Document and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Care Documents",
            "address_1": "306 Station 22 1/2 St",
            "city": "Sullivans Island",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294829756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sullivans Island, SC

Sources for this page

Verify at the official NPI Registry.