Charles Kenneth Edsall I, M. D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

29929 Issued in SC

Practice address

100 Healthy Way Ste 1200
Anderson, SC 29621

Phone

(864) 512-6140

Fax

(864) 512-6149

NPI assigned

Aug 20, 2007

Last updated

Nov 23, 2022By 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

Other identifiers 2

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

Specialty

Family Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anmed HealthGroup PAC ID 1951215243, shared by 12 NPIs, 348 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.7 of 100Reported as apm

Quality

89.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cedsall8453@direct.anmedhealth.net

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.

• Anmed Health

  dba AnMed - Clemson

  • Family Medicine Physician
  • Clemson, SC
  • NPI 1427005727
  Medicare reassignment NPD
• Anmed Health

  dba AnMed Health Westside Family Medicine

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1639102270
  Medicare reassignment NPD
• Anmed Health

  dba AnMed

  • Emergency Medicine Physician
  • Anderson, SC
  • NPI 1710918321
  Medicare reassignment NPD
• Anmed Health

  dba AnMed Orthopedics & Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Anderson, SC
  • NPI 1104448208
  NPD
• Anmed Health

  dba AnMed Primary Care - Piedmont

  • Family Medicine Physician
  • Piedmont, SC
  • NPI 1255137832
  NPD
• Anmed Health

  dba AnMed

  • Emergency Medicine Physician
  • Anderson, SC
  • NPI 1588685333
  NPD
• Anmed Health

  dba AnMed Clemson

  • Family Medicine Physician
  • Clemson, SC
  • NPI 1851701866
  NPD
• Diagnostic Radiology of Anderson, P.a.

  • Diagnostic Radiology Physician
  • Anderson, SC
  • NPI 1922125269
  NPD
• Anmed Health OB-GYN Associates

  • Obstetrics & Gynecology Physician
  • Clemson, SC
  • NPI 1447473715
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1841483344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100174",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023174",
            "telephone_number": "864-512-6140",
            "fax_number": "864-512-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY STE 1200",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "29621",
            "telephone_number": "864-512-6140",
            "fax_number": "864-512-6149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Meehan Way",
            "address_purpose": "LOCATION",
            "city": "Pendleton",
            "state": "SC",
            "postal_code": "296701860",
            "country_code": "US",
            "telephone_number": "864-512-5783",
            "fax_number": "864-646-3377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDSALL",
        "first_name": "CHARLES",
        "middle_name": "KENNETH",
        "name_suffix": "I",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2022-11-23",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "29929",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "SC",
            "license": "29929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841483344",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299297",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Olivia Ashton Eckart, PA-C
• Garry Edmonds, B.S.
• Lillian Edsall
• Alysse Leah Edwards, MHS, OTR/L
• Caroline B Edwards
• William Vendel Edwards, RPH.
• Eh Dental, LLC (East Highland Dentistry)

• Sports Medicine (Orthopaedic Surgery) Physician in Anderson, SC
• Providers in Anderson, SC by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.