Organization Active NPI

Health Edge Group. LLC

  • Physical Medicine & Rehabilitation Physician
  • North Charleston, SC
National Provider Identifier
1689081408
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
HEALTH EDGE GROUP. LLC
Practice address
2102 Otranto Blvd
North Charleston, SC 29406-9841
Phone
(843) 569-2225
Fax
(843) 863-1830
NPI assigned
Jul 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Authorized official

Name
Carolyn L. Hunter
Title
Owner
Phone
(843) 670-8703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2102 Otranto Blvd
North Charleston, SC 29406-9841

Mailing address

2102 Otranto Blvd
North Charleston, SC 29406-9841
Phone (843) 569-2225

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1689081408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 OTRANTO BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069841",
            "telephone_number": "843-569-2225",
            "fax_number": "843-863-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 OTRANTO BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069841",
            "telephone_number": "843-569-2225",
            "fax_number": "843-863-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH EDGE GROUP. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-670-8703"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.