NPI age
19 years
Enumerated 2006-09-26
● Active
Type 1 · Individual
Raymond Rudolph, MD
Rudolph is 1 of 49 surgery providers in Savannah and 1 of 1389 in Georgia.
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2013-04-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1389 active surgery providers in Georgia.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
28% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
4700 Waters Ave, Suite 405
Savannah, GA 314046220
Mailing address
4700 Waters Ave, Suite 405
Savannah, GA 314046220
Specialties
-
Surgery PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000453043L | |
| 01 (GA) | 10065386 | AMERIGROUP |
| 05 (GA) | 000453043E | |
| 01 (SC) | P00955061 | RAILROAD MEDICARE |
| 05 (GA) | 000453043I | |
| 05 (GA) | 000453043M | |
| 01 (GA) | 020047969 | RAILROAD MEDICARE |
| 01 (SC) | 020050906 | RAILROAD MEDICARE |
| 01 (GA) | 349825 | WELLCARE |
| 05 (GA) | 000453043B | |
| 05 (GA) | 000453043D | |
| 05 (GA) | 000453043G | |
| 01 (GA) | P00955071 | RAILROAD MEDICARE |
| 05 (GA) | 000453043J | |
| 05 (SC) | G30205 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 538 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 1389 Surgery providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.