Individual provider Active NPI

Edmund Rhett Jr., M.D.

  • Gynecology Physician
  • Mt Pleasant, SC
National Provider Identifier
1831185990
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
8257 Issued in SC
Practice address
725 Long Point Road
Mt Pleasant, SC 29464-8226
Phone
(843) 375-2210
Fax
(843) 375-2214
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 8257 SC Primary

Addresses

Primary practice location

725 Long Point Road
Mt Pleasant, SC 29464-8226

Mailing address

725 Long Point Rd
Mt Pleasant, SC 29464-8226
Phone (843) 375-2210

Other identifiers 1

IdentifierTypeStateIssuer
82573MedicaidSC

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
I20070213000380 SC Practitioner - Obstetrics/Gynecology 7911998273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edmund Rhett, Jr., M.D., P.a.Group PAC ID 2961404447, 2 clinicians

Practice addresses (Care Compare)

1300 Hospital Dr
Suite 150
Mt Pleasant, SC 29464-3243
Phone (843) 375-2210

Hospital & facility affiliations

  • Novant Health East Cooper Medical Center Hospital, Mount Pleasant, SC, CCN 420089

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8257SCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Edmund Rhett, Jr., M.D., P.a. Gynecology CurrentSince Jan 15, 2006 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1300 Hospital Dr
Ste 150
Mt Pleasant, SC 29464
Phone (843) 375-2210

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1831185990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 LONG POINT RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648226",
            "telephone_number": "843-375-2210",
            "fax_number": "843-375-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 LONG POINT ROAD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648226",
            "telephone_number": "843-375-2210",
            "fax_number": "843-375-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHETT",
        "first_name": "EDMUND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "SC",
            "license": "8257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82573",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

Verify at the official NPI Registry.