Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique Rauls

Individual provider Family Nurse Practitioner · NPI 1861265050

Dominique Rauls is a Nurse Practitioner in Shaw AFB, South Carolina. Qualified in 2022, 4 years ago. Practices with Rural Urgent Care LLC, a 167-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2023

Practice location Address checks out

420 Polifka Dr
Shaw AFB, SC 29152-5100
Phone: (803) 895-6356
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN268515 (GA)

Record details

NPI number1861265050
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2023
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address420 Polifka Dr, Shaw Afb, SC 29152-5100

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Rural Urgent Care Llc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shaw AFB