Angela R. Edwards, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2081 Issued in NC

Practice address

2915 Raeford Rd
204
Fayetteville, NC 28303-5508

Phone

(910) 483-6427

Fax

(910) 483-6557

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Jones-Edwards, Inc.

  • Psychologist
  • Wilson, NC
  • NPI 1134015803
  NPD
• New Day Behavioral Health Center, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fayetteville, NC
  • NPI 1013251156
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1508943002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 RAEFORD RD",
            "address_2": "204",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035508",
            "telephone_number": "910-483-6427",
            "fax_number": "910-483-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 RAEFORD RD",
            "address_2": "204",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035508",
            "telephone_number": "910-483-6427",
            "fax_number": "910-483-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ANGELA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000347",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Education Unlimited Day Program Centers
• Nagakishore Babu Edupuganti, R.PH
• Edutherapy Connection LLC
• Edward F. Scammon DMD PA
• Sylvia Edward, LCMHCA
• Angie Edwards, LCSW-A
• Antwoine L Edwards
• Beatrice R. Edwards
• Beth Ann Edwards
• Candace Edwards, NP

• Clinical Psychologist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.