Active NPI
Edward Allen Neilsen, MD
- Family Medicine Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24239
- Practice address
- 743 Folly Rd
Charleston, SC 29412-3432 - Phone
- (843) 762-2360
- Fax
- (843) 762-2340
- NPI assigned
- Apr 20, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24239 | SC | Primary |
Addresses
Primary practice location
743 Folly Rd
Charleston, SC 29412-3432
Mailing address
PO Box 749306
Atlanta, GA 30374-9306
Phone (843) 762-2360
Other practice location 1
2220 N Beltline Blvd
Columbia, SC 29204-3907
Phone (839) 600-9101
Other practice location 2
319 Folly Rd
Charleston, SC 29412-2518
Phone (843) 203-2246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242393 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical University of South Carolina College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2220 N Beltline Blvd
Columbia, SC 29204-3907
Phone (839) 600-9101
743 Folly Rd
Charleston, SC 29412-3432
Phone (843) 762-2360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Urgent Care of South Carolina, PC | Current | Accepting new patients | |
| Novant Health Urgent Cares LLC | Family Medicine | Current | Accepting new patients |
| Orthovirginia Inc | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Orthovirginia, Inc | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Orthovirginia Inc | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Family Medicine | Past | Accepting new patients |
Locations
6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484
319 Folly Rd
Charleston, SC 29412
Phone (843) 203-2246
743 Folly Rd
Charleston, SC 29412
Phone (843) 762-2360
10040 Two Notch Rd
Columbia, SC 29223
Phone (803) 788-1153
100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055
2220 N Beltline Blvd
Columbia, SC 29204
Phone (839) 600-9101
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
1114 N Main St
Summerville, SC 29483
Phone (843) 212-8034
807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132
8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595
15564 Westchester Commons Way
Midlothian, VA 23113
Phone (804) 440-4787
1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242
8901 Three Chopt Rd
Ste D
Richmond, VA 23229
Phone (804) 440-4878
Organizations & group practices 9
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.
-
- Urgent Care Clinic/Center
- Anderson, SC
- NPI 1841026382
Family Medicine
-
- Urgent Care Clinic/Center
- Greenville, SC
- NPI 1851000855
-
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
- Multi-Specialty Clinic/Center
- Mechanicsville, VA
- NPI 1487671822
-
- Internal Medicine Physician
- N Charleston, SC
- NPI 1750522199
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
- Multi-Specialty Clinic/Center
- North Chesterfield, VA
- NPI 1952328387
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1457316317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749306",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749306",
"telephone_number": "843-762-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 FOLLY RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294123432",
"telephone_number": "843-762-2360",
"fax_number": "843-762-2340"
}
],
"practiceLocations": [
{
"address_1": "2220 N Beltline Blvd",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292043907",
"country_code": "US",
"telephone_number": "839-600-9101",
"fax_number": "864-984-0768",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "319 Folly Rd",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294122518",
"country_code": "US",
"telephone_number": "843-203-2246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEILSEN",
"first_name": "EDWARD",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "24239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "242393",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.