Individual provider Active NPI

Edward Allen Neilsen, MD

  • Family Medicine Physician
  • Charleston, SC
National Provider Identifier
1457316317
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24239 Issued in SC
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

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
242393MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, VA2 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
I20050524001261 SC Practitioner - Family PracticePractitioner - General Practice 2466494000 Reassigns benefits to 3 organizations
I20190826000126 VA Practitioner - Family Practice 2466494000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Medical University of South Carolina College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians
Novant Health Urgent Cares LLCGroup PAC ID 8628502598, 183 clinicians

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

OrganizationSpecialtyStatusNew patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Apr 20, 2026 Accepting new patients
Novant Health Urgent Cares LLC Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Orthovirginia Inc Current Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Orthovirginia, Inc CurrentSince Aug 15, 2019 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Nov 9, 2020 Accepting new patients
Orthovirginia Inc CurrentSince Aug 15, 2019 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Nov 9, 2020 Accepting new patients
Prisma Health Medical Group-Midlands Family Medicine PastSince Apr 20, 2026 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.

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

Verify at the official NPI Registry.