Active NPI
James Leroy Edwards, DPM
- Podiatrist
- Raleigh, NC
National Provider Identifier
1598854895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 166
- Practice address
- 515 St Marys Street
Raleigh, NC 27605-1774 - Phone
- (919) 833-4324
- Fax
- (919) 833-2630
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 166 | NC | Primary |
Addresses
Primary practice location
515 St Marys Street
Raleigh, NC 27605-1774
Mailing address
515 St Marys Street
Raleigh, NC 27605-1774
Phone (919) 833-4324
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42135 | Other | COVENTRY HEALTH PLAN WELL | |
| 5161534 | Other | AETNA INSURANCE | |
| T64066 | Other | CIGNA HEALTH CARE | |
| 08056 | Other | NC | BC AND BS |
| 40502 | Other | PARTNERS | |
| 8908056 | Medicaid | NC | |
| 259331 | Other | ONE NET | |
| 2752356 | Other | NC | UHC |
| 95658 | Other | MEDCOST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Interoperability endpoints
- james.edwards.p13@direct.360care.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281657600000",
"number": "1598854895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 ST MARYS STREET",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051774",
"telephone_number": "919-833-4324",
"fax_number": "919-833-2630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 ST MARYS STREET",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051774",
"telephone_number": "919-833-4324",
"fax_number": "919-833-2630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JAMES",
"middle_name": "LEROY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2010-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NC",
"license": "166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH PLAN WELL",
"identifier": "42135",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE",
"identifier": "5161534",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH CARE",
"identifier": "T64066",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC AND BS",
"identifier": "08056",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "40502",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908056",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE NET",
"identifier": "259331",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2752356",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "95658",
"state": null
}
],
"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 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.