NPIMap

Organization Active NPI

Raleigh Hand to Shoulder Center PA

  • Orthopaedic Hand Surgery Physician
  • Raleigh, NC
National Provider Identifier
1558313478
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
Legal business name
RALEIGH HAND TO SHOULDER CENTER PA
Practice address
3701 Wake Forest Rd Ste 3100
Raleigh, NC 27609-6832
Phone
(919) 872-3171
Fax
(919) 872-6739
NPI assigned
May 17, 2006
Last updated
Aug 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Dr. George S Edwards Jr., MDNPI 1851552608
Title
President
Phone
(919) 872-3171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X Primary

Addresses

Primary practice location

3701 Wake Forest Rd Ste 3100
Raleigh, NC 27609-6832

Mailing address

3701 Wake Forest Rd Ste 100
Raleigh, NC 27609-6832
Phone (919) 872-3171

Other identifiers 1

IdentifierTypeStateIssuer
7902752MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051107000971 NC Part B Supplier - Clinic/Group Practice 9931127099 Receives reassigned benefits from 12 practitioners
Practice locations: Raleigh, NC
O20100930047706 NC DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9931127099 Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

3404 Wake Forest Rd
Ste 303
Raleigh, NC 27609
Phone (919) 862-5530

3701 Wake Forest Rd
#100
Raleigh, NC 27609
Phone (919) 872-3171

3701 Wake Forest Rd
Ste 3100
Raleigh, NC 27609
Phone (919) 872-3171

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1558313478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 WAKE FOREST RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096832",
            "telephone_number": "919-872-3171",
            "fax_number": "919-872-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 WAKE FOREST RD STE 3100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096832",
            "telephone_number": "919-872-3171",
            "fax_number": "919-872-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH HAND TO SHOULDER CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-872-3171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902752",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.