Tracy Michelle Edwards, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6626 Issued in NC

Practice address

3320 S Church St
Correct Time Plaza
Burlington, NC 27215-9150

Phone

(336) 584-7728

Fax

(336) 584-8730

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tracy M. Edwards, DDS, PA

  • Dentist
  • Burlington, NC
  • NPI 1497962146
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124103494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 S CHURCH ST",
            "address_2": "CORRECT TIME PLAZA",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159150",
            "telephone_number": "336-584-7728",
            "fax_number": "336-584-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 S CHURCH ST",
            "address_2": "CORRECT TIME PLAZA",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159150",
            "telephone_number": "336-584-7728",
            "fax_number": "336-584-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TRACY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eckerd Corporation (Rite Aid Pharmacy 11331)
• Eckerd Corporation (Rite Aid Pharmacy 11328)
• Edc Drug Stores Inc (Rite Aid Pharmacy 11330)
• Michael Edgette, LCMHC-A
• Robin Edwards, NP
• Daniel Martin Efird, LCSWA
• Pamela J Eldridge, CRNA
• Elizabeth G. Hodge, MSP, CCC-SLP, PC
• Sonja Downes Ellington, MS, CRC, LPC
• Robert T. Elliott, M.D.

• General Practice Dentistry in Burlington, NC
• Providers in Burlington, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.