Health Edge Group, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

9-14-119373 Issued in SC

Legal business name

HEALTH EDGE GROUP, LLC

Practice address

2102 Otranto Blvd Ste a
North Charleston, SC 29406-9841

Phone

(843) 569-2225

Fax

(843) 863-1830

NPI assigned

Apr 2, 2015

Organization subpart

Yes

Parent organization

HEALTH EDGE GROUP, LLCAs reported in NPPES

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

Authorized official

Name

Barbara Benton

Title

Billing Manager

Phone

(843) 607-3773

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Health Edge Group LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Health Edge Group. LLC

  • Physical Medicine & Rehabilitation Physician
  • North Charleston, SC
  • NPI 1689081408
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Paul Anderson, D.C.

  • Chiropractor
  • North Charleston, SC
  • NPI 1609826932
  NPD (past)
• David Palmer

  • Physical Rehabilitation Occupational Therapist
  • North Charleston, SC
  • NPI 1730575168
  NPD (past)
• Teresa Privett, FNP-BC

  • Family Nurse Practitioner
  • North Charleston, SC
  • NPI 1982049060
  NPD (past)

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1083009385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 OTRANTO BLVD STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069841",
            "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": "2102 OTRANTO BLVD STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069841",
            "telephone_number": "843-569-2225",
            "fax_number": "843-863-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH EDGE GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH EDGE GROUP, LLC",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "843-607-3773"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "9-14-119373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP6680",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Callan Lee Hazelbaker, M.A., BCBA
• Meghan Head, NP
• Joshua Bruce Headley, D.C.
• Healing Hands Companions LLC
• Health Business & Information Services LLC
• Health Edge Group. LLC
• Health Edge Laser LLC
• Health First
• Health First Rapid Care, Inc.
• Health Physicians, PC

• Durable Medical Equipment & Medical Supplies in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.