Individual provider Active NPI

Carmen M Edwards, FNP-BC

  • Family Nurse Practitioner
  • Greenwood, SC
National Provider Identifier
1144896796
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24959 Issued in SC
Practice address
408 W Alexander Ave
Greenwood, SC 29646-4031
Phone
(864) 227-9393
Fax
(864) 227-9377
NPI assigned
Jun 2, 2021
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 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 24959 SC Primary

Addresses

Primary practice location

408 W Alexander Ave
Greenwood, SC 29646-4031

Mailing address

408 W Alexander Ave
Greenwood, SC 29646-4031
Phone (864) 227-9393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211103000552 SC Practitioner - Nurse Practitioner 6406244995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

408 W Alexander Ave
Greenwood, SC 29646-4031
Phone (864) 889-0420

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NHC Healthcare-Greenwood LLC CurrentSince Sep 1, 2021 Accepting new patients
Hospice and Palliative Care of the Piedmont Inc CurrentSince Jan 2, 2023 Accepting new patients
Hospicecare of the Piedmont, Inc. CurrentSince Jan 2, 2023 Accepting new patients

Locations

408 W Alexander Ave
Greenwood, SC 29646
Phone (864) 227-9393

437 Cambridge Ave E
Greenwood, SC 29646
Phone (864) 223-1950

Interoperability endpoints

  • Direct secure messaging: cedwards539296@selfregional.direct-ci.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1144896796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W ALEXANDER AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464031",
            "telephone_number": "864-227-9393",
            "fax_number": "864-227-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W ALEXANDER AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464031",
            "telephone_number": "864-227-9393",
            "fax_number": "864-227-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CARMEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.