Individual provider Active NPI

Laurie A Edwards, NP-C

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1023435831
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006803 Issued in NC
Practice address
2340 Spring Forest Rd
Raleigh, NC 27615-7528
Phone
(704) 872-6355
Fax
(401) 652-9787
NPI assigned
Mar 19, 2014
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5006803 NC Primary

Addresses

Primary practice location

2340 Spring Forest Rd
Raleigh, NC 27615-7528

Mailing address

178 Turnersburg Hwy
Minute Clinic
Statesville, NC 28625-2890
Phone (866) 389-2727

Other identifiers 1

IdentifierTypeStateIssuer
5006803OtherNCNCBON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WI, GA, VA, SC, CT, NJ, NY, TN9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20140515000409 NC Practitioner - Nurse Practitioner 8224251418 Reassigns benefits to 1 organization
I20220901000814 WI Practitioner - Nurse Practitioner 8224251418
I20220907000184 GA Practitioner - Nurse Practitioner 8224251418
I20220915003078 VA Practitioner - Nurse Practitioner 8224251418
I20220915003342 SC Practitioner - Nurse Practitioner 8224251418
I20220922003605 CT Practitioner - Nurse Practitioner 8224251418
I20221110003086 NJ Practitioner - Nurse Practitioner 8224251418 Reassigns benefits to 1 organization
I20221115001353 NY Practitioner - Nurse Practitioner 8224251418 Reassigns benefits to 1 organization
I20250324000517 TN Practitioner - Nurse Practitioner 8224251418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Group of New York PCGroup PAC ID 2567642044, 61 clinicians
Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians
Minuteclinic Diagnostic of North Carolina PCGroup PAC ID 6002837572, 208 clinicians
Minuteclinic Diagnostic of Tennessee PCGroup PAC ID 2961428990, 82 clinicians

Practice addresses (Care Compare)

107 S Country Rd
Bellport, NY 11713-2523
Phone (866) 389-2727

183 Route 206 S
Chester, NJ 07930-2547
Phone (866) 389-2727

2340 Spring Forest Rd
Raleigh, NC 27615-7528
Phone (866) 389-2727

3715 Hillsboro Pike
Nashville, TN 37215-2117
Phone (866) 389-2727

6840 Glenwood Ave
Raleigh, NC 27612-7133
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5006803NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Sep 23, 2022 Accepting new patients
Minuteclinic Diagnostic of Tennessee PC Family CurrentSince Dec 16, 2023 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Aug 2, 2022 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Apr 28, 2014 Accepting new patients

Locations

2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

178 Turnersburg Hwy
Statesville, NC 28625
Phone (704) 872-6355

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

1200 Gallatin Pike S
Madison, TN 37115
Phone (615) 868-2150

3715 Hillsboro Rd
Nashville, TN 37215
Phone (615) 385-0622

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1023435831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 TURNERSBURG HWY",
            "address_2": "MINUTE CLINIC",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252890",
            "telephone_number": "866-389-2727",
            "fax_number": "401-652-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 SPRING FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276157528",
            "telephone_number": "704-872-6355",
            "fax_number": "401-652-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LAURIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBON",
            "identifier": "5006803",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.