Individual provider Active NPI

Robert Malcolm Edwards, M.D.

  • Specialist
  • Lancaster, SC
National Provider Identifier
1811991664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
SC13885 Issued in SC
Practice address
1240 Colonial Commons CT
Lancaster, SC 29720-2200
Phone
(803) 285-4333
Fax
(803) 285-3472
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X SC13885 SC Primary

Addresses

Primary practice location

1240 Colonial Commons CT
Lancaster, SC 29720-2200

Mailing address

1240 Colonial Commons CT
Lancaster, SC 29720-2200
Phone (803) 285-4333

Other identifiers 1

IdentifierTypeStateIssuer
PA3870MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20100817001702 SC Practitioner - Ophthalmology 8820183015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Carolina School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster Eye Clinic P.a.Group PAC ID 4981799509, 6 clinicians

Practice addresses (Care Compare)

1240 Colonial Commons CT
Lancaster, SC 29720-2200
Phone (803) 285-4333

Merit-based Incentive Payment System (MIPS)

Final score
99.7 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
SC13885SCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Eye Clinic, PA Current Accepting new patients

Locations

1240 Colonial Commons Ct
Lancaster, SC 29720
Phone (803) 285-3333

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811991664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 COLONIAL COMMONS CT",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202200",
            "telephone_number": "803-285-4333",
            "fax_number": "803-285-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 COLONIAL COMMONS CT",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202200",
            "telephone_number": "803-285-4333",
            "fax_number": "803-285-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ROBERT",
        "middle_name": "MALCOLM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "SC13885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA3870",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.