Jaleeka Lasha Rudd, MD
Individual provider Active NPI Family Medicine Physician · Littleton, NC
NPI 1972090025 · NPPES record last updated Nov 23, 2021
Key facts
- NPI
- 1972090025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2021-01898 (NC)
- Practice address
- 108 N Mosby Ave
Littleton, NC 27850-9804 - Phone
- (252) 586-5411
- Fax
- (252) 586-2028
- NPI assigned
- Apr 15, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rural Health Group Inc
Practice addresses (Care Compare)
108 Mosby Ave
Littleton, NC 27850-9411
Phone (252) 586-5411
Hospital & facility affiliations
- Centerwell Home Health
- Ecu Health North Hospital
- Unc Health Nash
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211124002026 | NC | Practitioner - Family Practice | 1658620703 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Group, Inc. | Current |
Accepting new patients | |
| Rural Health Group Inc | Current | Accepting new patients | |
| Rural Health Group, Inc. | Current | Accepting new patients | |
| Rural Health Group, Inc. | Current | Accepting new patients |
Locations
100 W Parkview Dr
Henderson, NC 27536
Phone (252) 438-3549
110 Division St
Norlina, NC 27563
Phone (252) 456-2009
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2021-01898 | NC | Yes |
Addresses
Primary practice location
108 N Mosby Ave
Littleton, NC 27850-9804
Mailing address
PO Box 640
Roanoke Rapids, NC 27870-0640
Phone (252) 536-5440
Other providers in Littleton, NC
- Littleton Pharmacy Inc.
- Jennifer Denise Lynch
- Paragon Outpatient Rehabilitation Services, LLC
- Priority Care Telehealth PLLC
- Queenz Home Care LLC
- Rural Health Group, Inc.
- Courtney Danielle Scott Council
- Ann See
- Elena Butler Sevier
- Japhus Short Jr.
All providers in Littleton, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.