Carmen Edwards

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5334 Issued in NC

Practice address

8510 Prosser Way Unit 304
Charlotte, NC 28216-1023

Phone

(704) 604-2371

NPI assigned

Jun 8, 2016

Last updated

May 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Psychological Assessment Center of Charlotte, PLLC

  • Clinical Psychologist
  • Charlotte, NC
  • NPI 1407696768
  Medicare reassignment NPD Authorized official
• Cotswold Clinician Support Services

  dba Matone Counseling and Testing

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1063893568
  Medicare reassignment NPD

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1679922827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 PROSSER WAY UNIT 304",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161023",
            "telephone_number": "704-604-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 PROSSER WAY UNIT 304",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161023",
            "telephone_number": "704-604-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CARMEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5334",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Subhash Venkata Satya Edupuganti, MD
• Tara Reisha Edwards-Booker, D.O
• Andrew Paul Edwards, CRNA
• Anna Edwards, PT, DPT
• Ashley Leann Edwards, CRNA
• Cathy Lewis Edwards
• Caty Carpenter Edwards, LCSW
• Charles H. Edwards II, MD
• Christopher George Edwards Sr., CEO
• Cierra Edwards, BSSW, MSW, LCSWA

• Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.