Rose Rader, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1147 Issued in SC

Practice address

110 Executive Park Way
Moncks Corner, SC 29461-3930

Phone

(843) 899-9099

Fax

(843) 899-9091

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ann-Marie Rader Other name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Liberty Doctors LLCGroup PAC ID 0840466017, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Charleston Home health agency, North Charleston, SC, CCN 427005
• Roper-St. Francis Home Health Home health agency, Charleston, SC, CCN 427042
• Roper Hospital Hospital, Charleston, SC, CCN 420087
• Trident Medical Center Hospital, Charleston, SC, CCN 420079
• Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: arader@libertydoctors.ssdirect.aprima.com

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.

• Liberty Doctors LLC

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1700162203
  Medicare reassignment Care Compare group NPD
• Liberty Doctors, LLC

  • Family Medicine Physician
  • North Charleston, SC
  • NPI 1376854406
  NPD
• Liberty Doctors LLC

  • Internal Medicine Physician
  • Moncks Corner, SC
  • NPI 1144299470
  NPD (past)

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

• Amedisys Home Health of South Carolina LLC

  • Home Health Agency
  • North Charleston, SC
  • NPI 1033177290
  Care Compare affiliation
• Roper Hospital, Inc

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1962472860
  Care Compare affiliation
• Roper St Francis Ancillary Services

  • Home Health Agency
  • Ladson, SC
  • NPI 1619947140
  Care Compare affiliation
• Roper St Francis Hospital-Berkeley Inc.

  • General Acute Care Hospital
  • Summerville, SC
  • NPI 1336603646
  Care Compare affiliation
• Trident Medical Center, LLC

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1366496937
  Care Compare affiliation

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1982791414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EXECUTIVE PARK WAY",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613930",
            "telephone_number": "843-899-9099",
            "fax_number": "843-899-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EXECUTIVE PARK WAY",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613930",
            "telephone_number": "843-899-9099",
            "fax_number": "843-899-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADER",
        "first_name": "ROSE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0458PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN-MARIE",
            "last_name": "RADER",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pruitthealth - Moncks Corner LLC
• Abria A Pryor
• Publix Super Markets, Inc.
• Emily Estes Puckett, M.S. CF-SLP
• Ashley Puthiyadam, DDS
• Rai Care Centers of South Carolina I, LLC
• Tina Ramos
• Ashley Mae Ramsey, NP
• Sarah Ramsey
• Meagan L. Raney

• Medical Physician Assistant in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.

Verify at the official NPI Registry.