Individual provider Active NPI

Carl Carter Edge IV

  • Orthopaedic Surgery Physician
  • Easley, SC
National Provider Identifier
1366024705
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
96710 Issued in SC
Practice address
309 E 1St Ave
Easley, SC 29640-3040
Phone
(864) 850-2663
Fax
(864) 306-0012
NPI assigned
Apr 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 96710 SC Primary

Addresses

Primary practice location

309 E 1St Ave
Easley, SC 29640-3040

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

VCUHS Orthopaedic Surgery Residency 980153
1250 E. Marshall Street
Richmond, VA 23298-0153
Phone (804) 828-7069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210804004189 VA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 6103220660

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wake Forest University School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 E McBee Ave
Greenville, SC 29601-2842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1366024705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E 1ST AVE",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403040",
            "telephone_number": "864-850-2663",
            "fax_number": "864-306-0012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "VCUHS Orthopaedic Surgery Residency 980153",
            "address_2": "1250 E. Marshall Street",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232980153",
            "country_code": "US",
            "telephone_number": "804-828-7069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDGE",
        "first_name": "CARL",
        "middle_name": "CARTER",
        "name_suffix": "IV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-26",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "96710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.