RHONDA MICHELLE DURHAM A-GNP-C
NPI 1407396609
Nurse Practitioner - Primary Care in Okatie, SC

Q: What is Rhonda Durham's NPI number?

The NPI number for Rhonda Durham is 1407396609. It was assigned to this individual provider in the NPPES registry on March 7, 2017.

Q: What is Rhonda Durham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Rhonda Durham was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 07, 2017PECOS EnrolledAccepts Medicare Assignment

60 OKATIE VILLAGE DR, OKATIE, SC 29909(843) 548-2500 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 29, 2026, Nov 11, 2024, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Rhonda Michelle Durham A-gnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RHONDA MICHELLE DURHAM A-GNP-C (NPI 1407396609) is an individual primary care provider in Okatie, South Carolina, licensed in South Carolina (APN.21872RX) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Savannah, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1407396609

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameRHONDA MICHELLE DURHAMCredential: A-GNP-C

Location Address60 OKATIE VILLAGE DROkatie, SC 29909-6554

Mailing Address1662 Mars AveLakewood, OH 44107-3825 · (216) 712-6556 · Fax (216) 712-6596

Phone(843) 548-2500

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 7, 2017

Last NPPES UpdateMay 29, 20264 updates tracked since enumeration

NPPES CertifiedMay 29, 2026

✔ NPI 1407396609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Licenses✔ Licensed in SC · APN.21872RX✔ Licensed in GA · RN154981

Also ListedRegistered NurseTaxonomy 163W00000X · License RN154981 (GA)

60 OKATIE VILLAGE DR, Okatie, SC 29909

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Secondary Practice Location 1

Location 1815 E 63rd StSavannah, GA 31405-4420 · Phone (912) 352-8615

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rhonda Michelle Durham A-gnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880967132

PECOS Enrollment IDI20170920000261

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Rhonda Durham reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Robert A Hall MD LLC

19 mi

Thoracic Surgery (Cardiothoracic Vascular Surgery)

10 LONGFIELD CT
Savannah, GA 31410

Reassigned Medicare billing, Georgia and South Carolina enrollments
3 clinicians in this Medicare group

NPI 1134407075 (912) 656-2596

Rabessler MD PC

73 mi

Internal Medicine

1311 W CHERRY ST
Jesup, GA 31545

Reassigned Medicare billing, Georgia enrollment
34 clinicians in this Medicare group

NPI 1174731970 (912) 427-7792

Sc House Calls Inc

120 mi

Family Medicine

111 DOCTOR CIR
Columbia, SC 29203

Reassigned Medicare billing, Georgia enrollment
139 clinicians in this Medicare group

NPI 1518048859 (800) 491-0909

Fortis Care Specialty Services PC

230 mi

Physical Medicine & Rehabilitation

8735 DUNWOODY PL # 8036
Sandy Springs, GA 30350

Reassigned Medicare billing, Georgia enrollment
9 clinicians in this Medicare group

NPI 1235057001 (404) 458-7784

Fortis Care, PC

230 mi

Internal Medicine

8735 DUNWOODY PL # 8456
Atlanta, GA 30350

Reassigned Medicare billing, Georgia enrollment
20 clinicians in this Medicare group

NPI 1730053570 (404) 734-7065

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

421 services87 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

315 services28 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

103 services54 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

84 services18 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

67 services29 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

60 services36 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

56 services38 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

41 services26 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

27 services15 patients

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.

27 services21 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

21 services18 patients

Advance care planning, first 30 minutes 99497

16 services15 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

14 services14 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAST RESPONSE NURSE PRACTITIONERS LLC

Nurse Practitioner (Gerontology)

60 OKATIE VILLAGE DR
OKATIE, SC 29909

Beaufort County (843) 548-5273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rhonda Durham's NPI number?

The NPI number for Rhonda Durham is 1407396609. It was assigned to this individual provider in the NPPES registry on March 7, 2017.

Where is Rhonda Durham located?

Rhonda Durham practices at 60 Okatie Village Dr, Okatie, SC 29909. The listed phone number is (843) 548-2500.

What is Rhonda Durham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Rhonda Durham enrolled in Medicare?

Yes. Rhonda Durham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Rhonda Durham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rhonda Durham reassigns Medicare benefits to 5 organizations: Robert A Hall MD LLC (Savannah, GA), Rabessler MD PC (Jesup, GA), Sc House Calls Inc (Columbia, SC), Fortis Care Specialty Services PC (Sandy Springs, GA) and Fortis Care, PC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rhonda Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rhonda Durham accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Rhonda Durham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rhonda Durham was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.