Individual provider Active NPI

Edward William Ference III, MD

  • Physical Medicine & Rehabilitation Physician
  • Charlotte, NC
National Provider Identifier
1538692967
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2021-00717 Issued in NC
Practice address
2001 Randolph Rd
Charlotte, NC 28207-1215
Phone
(704) 323-2225
Fax
(704) 323-3985
NPI assigned
Apr 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 227662 NC
Physical Medicine & Rehabilitation Physician 208100000X 2021-00717 NC Primary

Addresses

Primary practice location

2001 Randolph Rd
Charlotte, NC 28207-1215

Mailing address

4601 Park Rd Ste 300
Charlotte, NC 28209-2290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20220608002407 AL Practitioner - Physical Medicine and Rehabilitation 7618254756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Alabama School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed Orthopaedic SpecialistsGroup PAC ID 7214903723, 87 clinicians

Practice addresses (Care Compare)

4715 Whitesburg Dr SE
Huntsville, AL 35802-1649
Phone (256) 881-5151

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as group
Quality
90
Promoting interoperability
94
Improvement activities
40
Cost
80.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
227662NCMDInternal Medicine Physician
2021-00717NCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed Orthopaedic Specialists CurrentSince Jul 1, 2022 Accepting new patients
Sportsmed Orthopaedic Specialists, PC CurrentSince Jul 1, 2022 Accepting new patients
Sportsmed Orthopaedic Specialists, PC Past Accepting new patients

Locations

22423 US Highway 72
Ste A
Athens, AL 35613
Phone (256) 230-9607

2506 Danville Rd SW
Ste 202
Decatur, AL 35603
Phone (256) 306-0800

5850 Highway 53
Unit 12
Harvest, AL 35749
Phone 25631985109618

7242 Bailey Cove Rd SE
Huntsville, AL 35802
Phone (205) 478-4418

4715 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 319-8500

33 Hughes Rd
Madison, AL 35758
Phone (256) 319-9327

3101 Mountain Cove Dr
Ste B
Owens Cross Roads, AL 35763
Phone (256) 704-4261

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1538692967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 RANDOLPH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071215",
            "telephone_number": "704-323-2225",
            "fax_number": "704-323-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERENCE",
        "first_name": "EDWARD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "227662",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "2021-00717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.