James Russell Edwards, PT, MPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7578 Issued in NC

Practice address

4101 Raeford Rd Unit 100B
Fayetteville, NC 28304-4126

Phone

(910) 908-2222

Fax

(910) 482-5070

NPI assigned

Mar 22, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1538286034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5432 SOUTH FORTY DR",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "28348",
            "telephone_number": "910-223-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 RAEFORD RD UNIT 100B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044126",
            "telephone_number": "910-908-2222",
            "fax_number": "910-482-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283378715",
            "country_code": "US",
            "telephone_number": "910-862-4042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JAMES",
        "middle_name": "RUSSELL",
        "name_prefix": "Mr.",
        "credential": "PT, MPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "7578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Edwards, NP
• Deborah Kay Edwards, MSN,FNP,CDE
• Douglas Edwards, CSAC 24173
• Ebony Shauvon Edwards, LBA, BCBA
• Flecia Edwards
• Jasmin Edwards
• Karissa Edwards, DO
• Leigh Edwards
• Melissa Edwards
• Monica Edwards, LCSW

• Physical Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.