Individual provider Active NPI

Sarah Marie Edwards, MD

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1821278409
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2008-01698 Issued in NC
Practice address
4725 Piedmont Row Dr Ste 130
Charlotte, NC 28210-4276
Phone
(423) 914-0863
NPI assigned
Nov 12, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2008-01698 NC Primary

Addresses

Primary practice location

4725 Piedmont Row Dr Ste 130
Charlotte, NC 28210-4276

Mailing address

4725 Piedmont Row Dr Ste 130
Charlotte, NC 28210-4276
Phone (423) 914-0863

Other practice location 1

300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000

Other practice location 2

2084 Euclid Ave
Charlotte, NC 28203-5306
Phone (423) 914-0863

Other practice location 3

1900 Randolph Rd Ste 900
Charlotte, NC 28207-1117
Phone (704) 377-2424

Other identifiers 1

IdentifierTypeStateIssuer
5913681MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008-01698NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences Emergency Medicine Past Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821278409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 PIEDMONT ROW DR STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104276",
            "telephone_number": "423-914-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 PIEDMONT ROW DR STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104276",
            "telephone_number": "423-914-0863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Med Tech Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042277",
            "country_code": "US",
            "telephone_number": "423-302-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2084 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035306",
            "country_code": "US",
            "telephone_number": "423-914-0863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Randolph Rd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071117",
            "country_code": "US",
            "telephone_number": "704-377-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2008-01698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913681",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.