Individual provider Active NPI

Scott Michael Edwards, M.D.

  • Anesthesiology Physician
  • Charleston, SC
National Provider Identifier
1235168220
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD17275 Issued in SC
Practice address
1849 Savage Rd
Charleston, SC 29407-4726
Phone
(843) 284-8532
Fax
(888) 397-0276
NPI assigned
Jul 2, 2006
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17275 SC
Anesthesiology Physician 207L00000X MD17275 SC Primary
Pediatric Anesthesiology Physician 207LP3000X MD17275 SC

Addresses

Primary practice location

1849 Savage Rd
Charleston, SC 29407-4726

Mailing address

PO Box 1583
Mount Pleasant, SC 29465-1583
Phone (843) 284-8532

Other identifiers 2

IdentifierTypeStateIssuer
172352MedicaidSC
172752MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070131000558 SC Practitioner - Anesthesiology 8325040520 Reassigns benefits to 2 organizations
I20250813003703 MI Practitioner - Anesthesiology 8325040520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trident Anesthesia Group LLCGroup PAC ID 5294631545, 121 clinicians

Practice addresses (Care Compare)

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 797-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17275SCMDSpecialist
MD17275SCMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trident Anesthesia Group, LLC Anesthesiology CurrentSince May 15, 2024 Accepting new patients
Northern Anesthesia Providers PC Anesthesiology CurrentSince Sep 1, 2025 Accepting new patients
Anesthesia Services of Charleston Specialist CurrentSince Dec 1, 2006 Accepting new patients
Palmetto Anesthesia of Charleston, LLC Anesthesiology Past Accepting new patients
Mt. Pleasant Anesthesia Associates, PA Specialist Past Accepting new patients

Locations

748 S Main St
Cheboygan, MI 49721
Phone (231) 627-5601

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

602 Jackson St
Petoskey, MI 49770
Phone (231) 348-2795

1849 Savage Rd
Charleston, SC 29407
Phone (843) 576-2600

423 Barony St
Moncks Corner, SC 29461

9263 Medical Plaza Dr
Ste E
North Charleston, SC 29406
Phone (843) 572-1228

9313 Medical Plaza Dr
Ste 102
North Charleston, SC 29406
Phone (843) 572-1228

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1235168220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1583",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294651583",
            "telephone_number": "843-284-8532",
            "fax_number": "888-397-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 SAVAGE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074726",
            "telephone_number": "843-284-8532",
            "fax_number": "888-397-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "17275",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "MD17275",
            "primary": true
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "SC",
            "license": "MD17275",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172352",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172752",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.