Individual provider Active NPI

Anna Edhegard, MD

  • Dermatology Physician
  • Morganton, NC
National Provider Identifier
1164657391
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2020-03326 Issued in NC
Practice address
109 E Fleming Dr Ste 106
Morganton, NC 28655-3799
Phone
(828) 475-2646
NPI assigned
May 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD041179 DC
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 2020-03326 NC Primary

Addresses

Primary practice location

109 E Fleming Dr Ste 106
Morganton, NC 28655-3799

Mailing address

PO Box 3583
Morganton, NC 28680-3583
Phone (828) 475-2646

Other practice location 1

1900 N Beauregard St
Suite 110
Alexandria, VA 22311-1736
Phone (703) 212-7546

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630003447 NC Practitioner - Dermatology 0547494056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of North Carolina at Chapel Hill School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills Family DermatologyGroup PAC ID 5698176485, 2 clinicians

Practice addresses (Care Compare)

109 E Fleming Dr
Suite 106
Morganton, NC 28655-3799
Phone (828) 475-2646

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision36
Removal of tissue1-10
Removal of skin lesions575
Removal or shaving of skin growth49
Skin biopsy195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Family Dermatology Single Specialty CurrentSince Jul 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aedhegard@ffd.emadirect.md

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1164657391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3583",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286803583",
            "telephone_number": "828-475-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E FLEMING DR STE 106",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553799",
            "telephone_number": "828-475-2646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 N Beauregard St",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223111736",
            "country_code": "US",
            "telephone_number": "703-212-7546",
            "fax_number": "703-212-7282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDHEGARD",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DC",
            "license": "MD041179",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2020-03326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.