Active NPI
Carl Carter Edge IV
- Orthopaedic Surgery Physician
- Easley, SC
National Provider Identifier
1366024705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 96710
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210804004189 | VA | Order and Referring Only - 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.