Active NPI
Edward Anthony Overton, D.O.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 200400934
- Practice address
- 2315 W Arbors Dr Ste 115
Charlotte, NC 28262-2639 - Phone
- (704) 817-6676
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | OS-010979L | PA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 1146 | SC | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 53011 | GA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 200400934 | NC | Primary |
Addresses
Primary practice location
2315 W Arbors Dr Ste 115
Charlotte, NC 28262-2639
Mailing address
PO Box 480328
Charlotte, NC 28269-5338
Phone (215) 669-9668
Other practice location 1
10310 Mallard Creek Rd
Ste 101-c
Charlotte, NC 28262-9771
Phone (215) 669-9668
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2335844000 | Other | PA | IBC |
| NC1316 | Medicaid | SC | |
| 3686882 | Other | PA | AETNA |
| 5908315 | Medicaid | NC | |
| 6738998 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Philadelphia College of Osteopathic Medicine, 1999
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2315 W Arbors Dr
Suite 115
Charlotte, NC 28262-2639
Phone (704) 817-6676
2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800
900 Cox Rd
Suite a
Gastonia, NC 28054-3433
Phone (704) 864-3300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53011 | GA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| 200400934 | NC | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| OS-010979L | PA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Spine, Pain and Rehabilitation PLLC | Pain Medicine | Current | Accepting new patients |
Locations
900 Cox Rd
Ste A
Gastonia, NC 28054
Phone (704) 864-3300
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Gastonia, NC
- NPI 1134185184
Pain Medicine
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Charlotte, NC
- NPI 1770815300
-
- Physical Therapist
- Gastonia, NC
- NPI 1407932775
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1093753329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 480328",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282695338",
"telephone_number": "215-669-9668",
"fax_number": "704-864-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 W ARBORS DR STE 115",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282622639",
"telephone_number": "704-817-6676"
}
],
"practiceLocations": [
{
"address_1": "10310 Mallard Creek Rd",
"address_2": "Ste 101-c",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282629771",
"country_code": "US",
"telephone_number": "215-669-9668",
"fax_number": "704-864-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OVERTON",
"first_name": "EDWARD",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "PA",
"license": "OS-010979L",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "SC",
"license": "1146",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "GA",
"license": "53011",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NC",
"license": "200400934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "2335844000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC1316",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3686882",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5908315",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6738998",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.