Edwin L Hartman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22478 Issued in NC

Practice address

388 I Venture Dr.
Smithfield, NC 27577-3841

Phone

(919) 915-3987

Fax

(919) 989-7349

NPI assigned

Jun 9, 2006

Last updated

Aug 9, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: ehartman148145@direct.unc.nchie.net

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.

• Johnston Primary Care Physician Services Inc

  dba Johnston Medical Associates

  • Family Medicine Physician
  • Smithfield, NC
  • NPI 1841455755

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1629019815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 I VENTURE DR.",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773841",
            "telephone_number": "919-915-3987",
            "fax_number": "919-989-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 I VENTURE DR.",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773841",
            "telephone_number": "919-915-3987",
            "fax_number": "919-989-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "EDWIN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "22478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891176C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harris Health, LLC
• Baraka Harris, CCC-SLP
• Brian Keith Harris, MD
• Reginald W Harris Jr., DO
• Tasha Jean Harris, PA-C
• Bonnie Snow Harwell, CCC-SLP
• Ashan Thomas Hatharasinghe
• Olivia Haverstrom
• Jennifer Rose Hawley, M.S. CF-SLP
• Rachel Lynn Hayes, PA-C

• Internal Medicine Physician in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.

Verify at the official NPI Registry.