Active NPI
Health Edge Laser LLC
Doing business as Health Edge Medical and Wellness Center
- Family Medicine Physician
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25789
- Legal business name
- HEALTH EDGE LASER LLC
- Doing business as
- Health Edge Medical and Wellness Center
- Practice address
- 4965 Centre Pointe Dr. Suite 100
North Charleston, SC 29418 - Phone
- (843) 569-2225
- Fax
- (843) 863-1830
- NPI assigned
- Jun 13, 2016
- Last updated
- Mar 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carolyn Leigh Hunter, DC
- Title
- Owner
- Phone
- (843) 870-8703
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2991 | SC | |
| Chiropractor | 111N00000X | SC | ||
| Family Medicine Physician | 207Q00000X | 25789 | SC | Primary |
| Family Medicine Physician | 207Q00000X | SC | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Physical Therapist | 225100000X | 5337 | SC | |
| Physical Therapist | 225100000X | SC | ||
| Family Nurse Practitioner | 363LF0000X | 18243 | SC | |
| Family Nurse Practitioner | 363LF0000X | 3749 | SC |
Addresses
Primary practice location
4965 Centre Pointe Dr. Suite 100
North Charleston, SC 29418
Mailing address
4965 Centre Pointe Dr. Suite 100
North Charleston, SC 29418
Phone (843) 569-2225
Other names 1
- Health Edge Medical and Wellness Center
National Provider Directory
National Provider DirectoryLocations
4965 Centre Pointe Dr
#100
North Charleston, SC 29418
Phone (843) 277-0102
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- North Charleston, SC
- NPI 1780655316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488931200000",
"number": "1003265828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4965 CENTRE POINTE DR. SUITE 100",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "29418",
"telephone_number": "843-569-2225",
"fax_number": "843-863-1830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4965 CENTRE POINTE DR. SUITE 100",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "29418",
"telephone_number": "843-569-2225",
"fax_number": "843-863-1830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH EDGE LASER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-13",
"last_updated": "2017-03-08",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-870-8703",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "SC",
"license": "2991",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "SC",
"license": "25789",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "SC",
"license": "5337",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "18243",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "3749",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Health Edge Medical and Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.