Kim D Edhegard, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2007-01975 Issued in NC

Practice address

109 E Fleming Dr Ste 106
Morganton, NC 28655-3799

Phone

(828) 475-2646

NPI assigned

May 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Dermatology

Education

University of South Alabama College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foothills Family DermatologyGroup PAC ID 5698176485, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blue Ridge Healthcare Hospitals, Inc Hospital, Morganton, NC, CCN 340075

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: kedhegard@ffd.emadirect.md
• Direct secure messaging: kim.edhegard.1@18322.direct.athenahealth.com

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.

• Foothills Family Dermatology

  • Dermatology Physician
  • Morganton, NC
  • NPI 1043811128
  Medicare reassignment Care Compare group NPD Authorized official
• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Blue Ridge Healthcare Hospitals, Inc.

  • General Acute Care Hospital
  • Rutherford College, NC
  • NPI 1306821798
  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  • Hematology & Oncology Physician
  • Morganton, NC
  • NPI 1417000837

  Hospital

  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  • Hematology & Oncology Physician
  • Valdese, NC
  • NPI 1487707964

  Hospital

  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  • General Acute Care Hospital
  • Morganton, NC
  • NPI 1700860491
  Care Compare affiliation

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1487855680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3583",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286803583",
            "telephone_number": "251-463-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E FLEMING DR STE 106",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553799",
            "telephone_number": "828-475-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDHEGARD",
        "first_name": "KIM",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2007-01975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easter Seals Ucp of North Carolina & Virginia, Inc.
• Easter Seals Ucp of North Carolina & Virginia, Inc.
• Eckerd Corporation
• Eckerd Corporation
• Anna Edhegard, MD
• Ann R Edwards, RPH
• Carl Leon Edwards, MD
• Galen Matthew Edwards
• Trent Edwards, DO
• Edwin H. Holler, M.D., P.a.

• Dermatology Physician in Morganton, NC
• Providers in Morganton, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.

Verify at the official NPI Registry.