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NPI · 1740067107 · NPPES-sourced

Kennedy Ruckh PA-C

ActivePhysician Assistant
NPI Number
1740067107
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(843) 884-1777
License SC · 5081
Last Updated
Enumerated
Primary practice addressSC · 29464-1812
180 Wingo Way Ste 306Mt Pleasant, SC 29464-1812
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About this NPIWhat this record shows.

NPI 1740067107 is registered to Kennedy Ruckh PA-C, a Physician Assistant practising at 180 Wingo Way Ste 306 in Mt Pleasant, South Carolina. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Kennedy Ruckh PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2023.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Kennedy Ruckh PA-C accepts. To confirm in-network status with your specific health plan, contact Kennedy Ruckh PA-C directly at (843) 884-1777.

Frequently asked

Yes. NPI 1740067107 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (843) 884-1777.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Kennedy Ruckh PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
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