ROSE S SOUTHERLAND DPM
NPI 1790823334
Podiatrist - Primary Podiatric Medicine in Wilmington, NC

Q: What is Rose Southerland's NPI number?

The NPI number for Rose Southerland is 1790823334. It was assigned to this individual provider in the NPPES registry on February 4, 2007.

Q: What is Rose Southerland's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Q: When was this NPI record last updated?

The NPPES record for Rose Southerland was last updated on March 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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 February 04, 2007PECOS EnrolledAccepts Medicare Assignment

1202 MEDICAL CENTER DR, WILMINGTON, NC 28401(910) 341-3300(910) 251-2067 Get Directions Write a Review

NPPES record last updated: March 23, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 23, 2018, Mar 17, 2018, Mar 5, 2018 (3 updates tracked since 2018).

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About Rose S Southerland Dpm NPPES

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

ROSE S SOUTHERLAND DPM (NPI 1790823334) is an individual primary podiatric medicine provider in Wilmington, North Carolina, licensed in North Carolina (520) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ocean Isle Beach, and is a graduate of Kent State University College Of Podiatric Medicine (2004).

NPPES Registry Identity

NPI1790823334

Entity TypeIndividualFemale

Primary Taxonomy213EP1101X

Provider Legal NameROSE S SOUTHERLANDCredential: DPM

Location Address1202 MEDICAL CENTER DRWilmington, NC 28401-7307

Mailing Address25 Union School Rd Nw Ste 1Ocean Isle Beach, NC 28469-7307 · (910) 579-0828

Phone(910) 341-3300

Fax(910) 251-2067

Sole ProprietorYes

Medical School CMSKent State University College Of Podiatric MedicineGraduated 2004

Enumeration DateFebruary 4, 2007

Last NPPES UpdateMarch 23, 20183 updates tracked since enumeration

✔ NPI 1790823334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers

Taxonomy Code213EP1101X

License✔ Licensed in NC · 520

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 520 (NC)

1202 MEDICAL CENTER DR, Wilmington, NC 28401

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Secondary Practice Location 1

Location 125 Union School Rd NW Ste 1Ocean Isle Beach, NC 28469-7307 · Phone (910) 579-0828

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.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

Rose S Southerland Dpm 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 ID6608979919

PECOS Enrollment IDI20080228000617

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 Reassignment

Medicare enrollment records show Rose Southerland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wilmington Health PLLC

Same address

Multi-Specialty

1202 MEDICAL CENTER DR
Wilmington, NC 28401

Reassigned Medicare billing, North Carolina enrollment
444 clinicians in this Medicare group

NPI 1881632339 (910) 341-3300

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 15

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

709 services251 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

296 services201 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.

244 services172 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

187 services187 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

169 services54 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

154 services83 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

80 services60 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

78 services52 patients

Permanent removal fingernail or toenail 11750

Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.

43 services39 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

33 services21 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

20 services19 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

18 services11 patients

Removal of skin of fingernail or toenail 11765

This procedure, called a nail avulsion, involves the removal of a fingernail or toenail's skin, usually due to an infection, injury, or abnormal growth. It's performed under local anesthesia to minimize discomfort, and promotes healthy nail regrowth and healing.

15 services15 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

15 services13 patients

Uric acid level, blood 84550

A blood uric acid level test measures the amount of uric acid in your blood. Uric acid is a waste product that your body produces when it breaks down purines, substances found in your body and in certain foods. High levels may lead to gout or kidney stones.

14 services13 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

1 supplier12 claims12 services$229.85 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

GREGORY ROBERTS M.D.

Internal Medicine (Cardiovascular Disease)