Henry T Edwards, M.ED, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

308 Issued in NC

Practice address

4895 Fayetteville Rd
Lumberton, NC 28358-2162

Phone

(910) 737-3181

Fax

(910) 739-4027

NPI assigned

Apr 4, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Platinum Therapy & Performance Center LLC

  • Multi-Specialty Clinic/Center
  • Saint Pauls, NC
  • NPI 1316563943
  NPD Authorized official
• Southeastern Regional Medical Center

  • General Acute Care Hospital
  • Lumberton, NC
  • NPI 1356543383
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811959117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 BAXLEY RD",
            "city": "SAINT PAULS",
            "state": "NC",
            "postal_code": "283846766",
            "telephone_number": "910-865-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582162",
            "telephone_number": "910-737-3181",
            "fax_number": "910-739-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "HENRY",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "M.ED, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eden Health Care Services Inc.
• Eden Health Care Services Incorporated
• Edward B. Ermini, MD PA
• Edward P. Jessup, DDS, Msco, PA
• Edward V Hickman DDS PA
• Sherry L Edwards, PHD
• Stephanie Elaine Edwards, MSW, LCSW-A
• Elite Medical Services
• Elizabeth a Windley O.D. PLLC
• Helen G. Eller

• Athletic Trainer in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.