Individual provider Active NPI

Michael L Edwards, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Mount Pleasant, SC
National Provider Identifier
1649331729
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
12973 Issued in SC
Practice address
1230 Hospital Dr
Ste a
Mount Pleasant, SC 29464-3251
Phone
(843) 572-2100
Fax
(843) 572-2163
NPI assigned
Dec 13, 2006
Last updated
Feb 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 12973 SC Primary

Addresses

Primary practice location

1230 Hospital Dr
Ste a
Mount Pleasant, SC 29464-3251

Mailing address

9213 University Blvd
Suite C
North Charleston, SC 29406-9145
Phone (843) 572-2100

Other identifiers 1

IdentifierTypeStateIssuer
129738MedicaidSC

Other names 1

  • Dr. Michael Lamar Edwards Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20120419000388 SC Practitioner - Thoracic SurgeryPractitioner - Vascular Surgery 2163683079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Vascular Surgery
Education
University of Tennessee, HSC, College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1156 Bowman Rd
Unit 103
Mount Pleasant, SC 29464-3803
Phone (843) 654-7337

2000 Hospital Dr
Mount Pleasant, SC 29464-3764
Phone (843) 654-7337

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SC Cardiovascular Associates LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 1, 2002 Accepting new patients
Fort Sumter Surgical Clinic Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

1156 Bowman Rd
Unit 103
Mt Pleasant, SC 29464
Phone (843) 654-7337

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

2891 Tricom St
Ste B
North Charleston, SC 29406
Phone (843) 573-2411

9213 University Blvd
Ste C
North Charleston, SC 29406
Phone (843) 764-0754

Organizations & group practices 2

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.

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1649331729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9213 UNIVERSITY BLVD",
            "address_2": "SUITE C",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069145",
            "telephone_number": "843-572-2100",
            "fax_number": "843-572-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 HOSPITAL DR",
            "address_2": "STE A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643251",
            "telephone_number": "843-572-2100",
            "fax_number": "843-572-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SC",
            "license": "12973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129738",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "EDWARDS",
            "middle_name": "LAMAR",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.