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Active NPI 1295836617 Individual Practitioner Male Practitioner

Dr. Raymond Rudolph , MD

Surgery • Savannah, GA

Professional Overview & Biography Verified Profile Summary

Dr. Raymond Rudolph, MD is a registered healthcare professional specializing in Surgery in Savannah, GA. Practice services are available at 4700 WATERS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4700 Waters Ave
Suite 405

Savannah, GA 314046220

Telephone 9123502700
Fax 9123502715
Associated Practice Facility / Clinic
🏢 Coastal Medical Services Llc Facility NPI 1992791974

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Savannah, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
39 Specialists

Practicing in Savannah, GA (1046 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 30205

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License SC 21641

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000453043L (GA)
Medicaid State Provider ID
000453043M (GA)
Medicaid State Provider ID
000453043B (GA)
Medicaid State Provider ID
000453043D (GA)
Medicaid State Provider ID
000453043G (GA)
Medicaid State Provider ID
000453043J (GA)
Medicaid State Provider ID
G30205 (SC)
Medicaid State Provider ID
000453043E (GA)
Medicaid State Provider ID
000453043I (GA)
Commercial Insurance / Payer ID Amerigroup
10065386 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Catie Bell , NP

Nurse Practitioner

NPI 1093863516

Nurse Practitioner

Shelly Childers

Nurse Practitioner

NPI 1174038145
Megan Estabrook , PA

Physician Assistant

NPI 1184216442

Physician Assistant

Dr. William Burak , MD

Surgery - Surgical Oncology

NPI 1518159417

Doctor of Medicine (M.D.)

NPI 1699876037

Doctor of Medicine (M.D.)

Jocelyn Hall , FNP-C

Nurse Practitioner

NPI 1720481674

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2013

Registered at 4700 WATERS AVE, SUITE 405, SAVANNAH, GA 314046220 (Tel: 9123502700)

📍
Updated Business Mailing Address April 26, 2013

Registered at 4700 WATERS AVE, SUITE 405, SAVANNAH, GA 314046220 (Tel: 9123502700)

👤
Provider Name / Credentials Updated April 26, 2013

Recorded as RAYMOND RUDOLPH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2013

Surgery (License #30205 in GA)

🟢
Initial NPI Registration & Enumeration September 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295836617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: April 26, 2013
Sole Proprietor: No

Mailing Address

4700 Waters Ave, Suite 405

Savannah, GA 314046220

Phone: 9123502700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.