Kent Russell Edwards Jr.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

2020-04205 Issued in NC

Practice address

401 Mulberry St SW Ste 202
Lenoir, NC 28645-5463

Phone

(828) 757-6464

Fax

(828) 757-6424

NPI assigned

Jun 23, 2016

Last updated

Mar 20, 2023By 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 2

Addresses

Electronic endpoints 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

Specialty

Urology

Education

University of South Carolina School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Urology Specialists of the Carolinas PLLCGroup PAC ID 0648178020, 78 clinicians

Viewmont Urology Clinic, PAGroup PAC ID 6002890704, 6 clinicians

Caldwell Memorial Hospital IncGroup PAC ID 5395646970, shared by 13 NPIs, 212 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143
• Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116
• Caldwell Memorial Hospital Hospital, Lenoir, NC, CCN 340041

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kedwards971289@direct.unc.nchie.net
• Direct secure messaging: krussell.edwardsmd.p4@direct.viewmonturology.nextgenshare.com

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.

• Urology Specialists of the Carolinas PLLC

  • Urology Physician
  • Charlotte, NC
  • NPI 1669404208
  Medicare reassignment Care Compare group NPD
• Viewmont Urology Clinic, PA

  • Urology Physician
  • Hickory, NC
  • NPI 1962435529
  Medicare reassignment Care Compare group NPD
• Caldwell Memorial Hospital, Inc

  dba Robbins Cardiology

  • Cardiovascular Disease Physician
  • Lenoir, NC
  • NPI 1477839108
  Medicare reassignment NPD
• Caldwell Memorial Hospital, Inc.

  dba Robbins Surgical

  • Surgery Physician
  • Lenoir, NC
  • NPI 1376983171
  Medicare reassignment NPD
• Caldwell Memorial Hospital Inc.

  dba UNC Health Caldwell Radiology Associates

  • Diagnostic Radiology Physician
  • Lenoir, NC
  • NPI 1255221180
  NPD
• Caldwell Memorial Hospital, Inc.

  dba Caldwell Urology Associates

  • Urology Physician
  • Lenoir, NC
  • NPI 1538276100
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Caldwell Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Lenoir, NC
  • NPI 1114974029
  Care Compare affiliation
• Catawba Valley Medical Center

  • General Acute Care Hospital
  • Hickory, NC
  • NPI 1164495255
  Care Compare affiliation
• DLP Frye Regional Medical Center LLC

  dba Frye Regional Medical Center

  • General Acute Care Hospital
  • Hickory, NC
  • NPI 1801823349
  Care Compare affiliation

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1730530502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE",
            "address_2": "ROOM 202 MAIN HOSPITAL",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905",
            "telephone_number": "843-792-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MULBERRY ST SW STE 202",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455463",
            "telephone_number": "828-757-6464",
            "fax_number": "828-757-6424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Ashley Ave",
            "address_2": "Room 202 Main Hospital",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294258905",
            "country_code": "US",
            "telephone_number": "843-792-3072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KENT",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "LL39777",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2020-04205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kedwards971289@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "401 Mulberry St SW Ste 202",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Easter Seals Ucp North Carolina & Virginia, Inc.
• Easter Seals Ucp of North Carolina & Virginia, Inc.
• Eckerd Corporation (Rite Aid Pharmacy 11550)
• John H Edmunds, M.D.
• Janell Lynn Edwards, NCC, LCMHCA
• Richard Scott Eidson, DDS
• John Leonard Ellis, PH.D.
• William Leon Ellis Jr., RPH
• Emergeortho, PA
• Thomas Edward Emmett Jr., PTA

• Urology Physician in Lenoir, NC
• Providers in Lenoir, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.