Active NPI
Rufus W Watkins, MD
- Surgery Physician
- Clinton, SC
National Provider Identifier
1699774752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 7010
- Practice address
- 1012 Medical Ridge Rd
Clinton, SC 29325-4542 - Phone
- (864) 833-3852
- Fax
- (864) 938-0501
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 7010 | SC | Primary |
Addresses
Primary practice location
1012 Medical Ridge Rd
Clinton, SC 29325-4542
Mailing address
1012 Medical Ridge Rd
Clinton, SC 29325-4542
Phone (864) 833-3852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070103 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699774752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 MEDICAL RIDGE RD",
"city": "CLINTON",
"state": "SC",
"postal_code": "293254542",
"telephone_number": "864-833-3852",
"fax_number": "864-938-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 MEDICAL RIDGE RD",
"city": "CLINTON",
"state": "SC",
"postal_code": "293254542",
"telephone_number": "864-833-3852",
"fax_number": "864-938-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "RUFUS",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "7010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070103",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.