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DR. KELLY GOHEEN RUTHERFORD MD
NPI 1962245019
Obstetrics & Gynecology in Charleston, SC

Active since June 17, 2024PECOS Enrolled
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425(843) 270-2814 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Kelly Goheen Rutherford Md NPPES

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

DR. KELLY GOHEEN RUTHERFORD MD (NPI 1962245019) is an individual obstetrics & gynecology provider in Charleston, South Carolina, licensed in South Carolina (LL92372) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962245019
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KELLY GOHEEN RUTHERFORDCredential: MD
Location Address169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333Charleston, SC 29425-8905
Mailing Address169 Ashley Avenue, Room 202 Main Hospital Msc333Charleston, SC 29425 · (843) 270-2814
Phone(843) 270-2814
Sole ProprietorNo
Enumeration DateJune 17, 2024
NPPES CertifiedApril 20, 2024
✔ NPI 1962245019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in SC · LL92372
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
169 ASHLEY AVENUE, Charleston, SC 29425
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Other Names 1

Former Name (1)Kelly Frances Goheen

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Goheen Rutherford Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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 20

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

DR. JAMES HOWARD BENSON III MD
Internal Medicine
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-4074
COURTNEY AUGUSTA LUKITSCH MD
Psychiatry & Neurology (Psychiatry)
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-9162
DR. CHARLES SPENCER TEIXEIRA DO
Internal Medicine (Infectious Disease)
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC 333
CHARLESTON, SC 29425
Charleston County (843) 792-2575
CHELSEA WRIGHT-VOID MD
Pathology (Anatomic Pathology & Clinical Pathology)
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-1086
HELEN JENSIE BURTON MD
Internal Medicine
169 ASHLEY AVENUE, ROOM 202 MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-2911
DR. MITCHELL BENTON MD
Internal Medicine
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-5386
DR. ALLISON CRECELIUS DO
Emergency Medicine
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Charleston County (314) 808-5444
RONIT KULKARNI
Surgery
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-2081

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 Kelly Rutherford's NPI number?

The NPI number for Kelly Rutherford is 1962245019. It was assigned to this individual provider in the NPPES registry on June 17, 2024. The provider is also known as Kelly Frances Goheen.

Where is Kelly Rutherford located?

Kelly Rutherford practices at 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425. The listed phone number is (843) 270-2814.

What is Kelly Rutherford's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kelly Rutherford enrolled in Medicare?

Yes. Kelly Rutherford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Rutherford was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.