Active NPI
Antoinette W. Rutherford, M.D.
- Sleep Medicine (Internal Medicine) Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 23755
- Practice address
- 1 Richland Medical Park Dr
Suite 300
Columbia, SC 29203 - Phone
- (803) 799-5022
- Fax
- (803) 799-5890
- NPI assigned
- Feb 24, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 23755 | SC | Primary |
Addresses
Primary practice location
1 Richland Medical Park Dr
Suite 300
Columbia, SC 29203
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7303
Other practice location 1
1 Richland Medical Park Dr
Suite 300
Columbia, SC 29203
Phone (803) 799-5022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237559 | Medicaid | SC |
Other names 1
- Antoinette Lavinia Williams
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of South Carolina School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Richland Med PK Dr
Columbia, SC 29203-6831
11 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (803) 434-4506
1330 Taylor St
Columbia, SC 29201-2915
Phone (803) 434-6771
2 Medical Park Rd
Suite 506
Columbia, SC 29203-6876
Phone (803) 540-1000
400 Palmetto Health Pkwy
Columbia, SC 29212-1760
Phone (803) 296-5579
7 Richland Medical Park Dr
Columbia, SC 29203-6863
Hospital & facility affiliations
- Prisma Health Richland Hospital
- Prisma Health Baptist
- Prisma Health Baptist Parkridge
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients |
Locations
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
1 Richland Medical Park Dr
Ste 300
Columbia, SC 29203
Phone (803) 434-7910
Interoperability endpoints
- arutherford383655@direct.ghs.myhfn.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, SC
- NPI 1962471946
Hospital
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1033889795
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1154197846
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1154373843
-
- General Acute Care Hospital
- Coulmbia, SC
- NPI 1154432458
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1205889458
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1306623137
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1396524104
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1508554452
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1811237985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1740316934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743904",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743904",
"telephone_number": "803-296-7303",
"fax_number": "803-296-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RICHLAND MEDICAL PARK DR",
"address_2": "SUITE 300",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-799-5022",
"fax_number": "803-799-5890"
}
],
"practiceLocations": [
{
"address_1": "1 Richland Medical Park Dr",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "29203",
"country_code": "US",
"telephone_number": "803-799-5022",
"fax_number": "803-799-5890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUTHERFORD",
"first_name": "ANTOINETTE",
"middle_name": "W.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-24",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "SC",
"license": "23755",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "237559",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANTOINETTE",
"last_name": "WILLIAMS",
"middle_name": "LAVINIA",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.