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

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: July 26, 2026.

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

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
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

Secondary Practice Location 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

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.

Internal Medicine (Cardiovascular Disease)
1202 MEDICAL CENTER DR
WILMINGTON, NC 28401
Nurse Practitioner
1202 MEDICAL CENTER DR
WILMINGTON, NC 28401
Hospitalist
1202 MEDICAL CENTER DR
WILMINGTON, NC 28401
Internal Medicine (Pulmonary Disease)
1202 MEDICAL CENTER DR
WILMINGTON, NC 28401
Physician Assistant
1202 MEDICAL CENTER DR
WILMINGTON, NC 28401
Internal Medicine (Pulmonary Disease)
1202 MEDICAL CENTER DR
WILMINGTON, NC 28401
Physical Therapist
1202 MEDICAL CENTER DR
WILMINGTON, NC 28401
Internal Medicine (Cardiovascular Disease)
1202 MEDICAL CENTER DR
WILMINGTON, NC 28401

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 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.

Where is Rose Southerland located?

Rose Southerland practices at 1202 Medical Center Dr, Wilmington, NC 28401. The listed phone number is (910) 341-3300.

What is Rose Southerland's specialty?

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

Is Rose Southerland enrolled in Medicare?

Yes. Rose Southerland 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.

What insurance does Rose Southerland accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Rose Southerland 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 Rose Southerland was last updated on March 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.