Individual provider Active NPI

Donald M Edwards

  • Hearing Instrument Specialist
  • Myrtle Beach, SC
National Provider Identifier
1619599073
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAS-0281 Issued in SC
Practice address
960 Cipriana Dr Ste B7
Myrtle Beach, SC 29572-4627
Phone
(843) 449-1411
NPI assigned
May 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HAS-0281 SC Primary

Addresses

Primary practice location

960 Cipriana Dr Ste B7
Myrtle Beach, SC 29572-4627

Mailing address

960 Cipriana Dr Ste B7
Myrtle Beach, SC 29572-4627
Phone (843) 449-1411

Other identifiers 1

IdentifierTypeStateIssuer
HAS-0281OtherSCSC DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@mecarolinas.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HAS-0281SCMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1619599073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 CIPRIANA DR STE B7",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724627",
            "telephone_number": "843-449-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CIPRIANA DR STE B7",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724627",
            "telephone_number": "843-449-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DONALD",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "SC",
            "license": "HAS-0281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL",
            "identifier": "HAS-0281",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mecarolinas.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "960 Cipriana Dr Ste B7",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295724627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.