Edge Medical Services

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

EDGE MEDICAL SERVICES

Practice address

12330 Tantallon CT
Pineville, NC 28134-6410

Phone

(210) 787-8344

NPI assigned

Feb 28, 2017

Last updated

Feb 28, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

EDGE MEDICAL SERVICESAs reported in NPPES

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

Authorized official

Name

Victoria Lee

Title

Admin

Phone

21078783440

Specialties & licenses 1

Addresses

Part of

Edge Medical Services

Locations

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1649710344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N LOOP 1604 E",
            "address_2": "105187",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321339",
            "telephone_number": "210-787-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 TANTALLON CT",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281346410",
            "telephone_number": "210-787-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE MEDICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDGE MEDICAL SERVICES",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "21078783440"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya L Dixon-Thompson, M.ED., CCC-SLP
• Douglas F. Geiger
• Nyoka S. Dunbar, FNP-C
• David Norris Dupuy, MD
• Eckerd Corporation (Rite Aid Pharmacy 11460)
• Audrey Edwards
• Dana Moore Elliot, OTR/L
• Enhance Counseling & Consulting
• ENT Surgical Center of the Carolinas, PLLC
• Elisa Estrella

• Birthing Clinic/Center in Pineville, NC
• Providers in Pineville, NC by specialty
• Birthing Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.