Individual provider Active NPI

Edward Granderson Crosswell, MD

  • Ophthalmology Physician
  • Columbia, SC
National Provider Identifier
1194953596
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
LL31756 Issued in SC
Practice address
1920 Pickens St.
Columbia, SC 29201-2632
Phone
(803) 779-3070
Fax
(803) 771-7639
NPI assigned
Jun 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X LL31756 SC Primary

Addresses

Primary practice location

1920 Pickens St.
Columbia, SC 29201-2632

Mailing address

1920 Pickens St.
Columbia, SC 29201-2632
Phone (803) 779-3070

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140624000889 SC Practitioner - Ophthalmology 8325262868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical University of South Carolina College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Eye Clinic PAGroup PAC ID 8426069907, 20 clinicians

Practice addresses (Care Compare)

100 Palmetto Park Blvd
Lexington, SC 29072-7855
Phone (803) 779-3070

100 Summit Centre Dr
Columbia, SC 29229-7612
Phone (803) 779-3070

1920 Pickens St
Columbia, SC 29201-2632
Phone (803) 779-3070

3227 Sunset Blvd
Suite C
West Columbia, SC 29169-3201
Phone (803) 779-3070

Merit-based Incentive Payment System (MIPS)

Final score
99.38 of 100Reported as individual
Quality
98.76
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery258
Melanoma (skin cancer) excision18
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL31756SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Eye Clinic PA Ophthalmology CurrentSince Jul 25, 2014 Accepting new patients

Locations

1920 Pickens St
Columbia, SC 29201
Phone (803) 254-7732

100 Palmetto Park Blvd
Lexington, SC 29072
Phone (803) 806-0075

Interoperability endpoints

  • Direct secure messaging: edward.crosswell.p1@direct.columbiaeyeclinic.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1194953596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 PICKENS ST.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012632",
            "telephone_number": "803-779-3070",
            "fax_number": "803-771-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 PICKENS ST.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012632",
            "telephone_number": "803-779-3070",
            "fax_number": "803-771-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSWELL",
        "first_name": "EDWARD",
        "middle_name": "GRANDERSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "LL31756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.