Individual provider Active NPI

Edwin Yaeger, DO

  • Emergency Medicine Physician
  • Angier, NC
National Provider Identifier
1558348276
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9501157 Issued in NC
Practice address
9633 Bitter Melon Dr
Angier, NC 27501-5917
Phone
(919) 639-8900
NPI assigned
Dec 22, 2005
Last updated
Nov 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9501157 NC Primary

Addresses

Primary practice location

9633 Bitter Melon Dr
Angier, NC 27501-5917

Mailing address

9633 Bitter Melon Dr
Angier, NC 27501-5917
Phone (919) 639-8900

Other identifiers 1

IdentifierTypeStateIssuer
891158HMedicaidNC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040218000872 NC Practitioner - Emergency Medicine 0941195960 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Chicago College of Osteopathy, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tarheel Emergency Group, PLLCGroup PAC ID 6709268576, 40 clinicians
Uncommon Care PAGroup PAC ID 7214083112, 2 clinicians

Practice addresses (Care Compare)

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345

9633 Bitter Melon Dr
Angier, NC 27501-5917
Phone (919) 639-8900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9501157NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Carolina Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 11, 2008 Accepting new patients
Tarheel Emergency Group, PLLC Emergency Medicine CurrentSince Aug 15, 2022 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Mar 1, 2012 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince May 1, 2012 Accepting new patients
Columbus Emergency Group LLC Emergency Medicine CurrentSince Jan 6, 2016 Accepting new patients
Uncommon Care PA CurrentSince Jul 30, 2009 Accepting new patients
Wilson Emergency Physician Partners PLLC Emergency Medicine CurrentSince Jul 1, 2009 Accepting new patients
Franklin Regional Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
KB Management Services LLC Emergency Medicine Past Accepting new patients
Bestpractices of South Carolina, PC Emergency Medicine Past Accepting new patients
Central Emergency Physicians, PLLC Emergency Medicine PastSince Jan 26, 2020 Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Lenoir County PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Carteret County, PLLC Emergency Medicine Past Accepting new patients
Bestpractices of North Carolina PC Emergency Medicine Past Accepting new patients
Henderson Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Franklin Regional Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
American Healthcare Systems, LLC Past Accepting new patients

Locations

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

9633 Bitter Melon Dr
Angier, NC 27501
Phone (919) 639-8900

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

Interoperability endpoints

  • Direct secure messaging: eyaeger@741.securemail.prognocis.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 3

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1558348276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9633 BITTER MELON DR",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275015917",
            "telephone_number": "919-639-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9633 BITTER MELON DR",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275015917",
            "telephone_number": "919-639-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAEGER",
        "first_name": "EDWIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "9501157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891158H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Angier, NC

Sources for this page

Verify at the official NPI Registry.