Individual provider Active NPI

Michael Charles Edwards Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Beaufort, SC
National Provider Identifier
1881604387
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
129 Issued in SC
Practice address
1084 Ribaut Rd
Beaufort, SC 29902-5494
Phone
(843) 524-0232
Fax
(843) 524-3323
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 129 SC Primary

Addresses

Primary practice location

1084 Ribaut Rd
Beaufort, SC 29902-5494

Mailing address

1084 Ribaut Rd
Beaufort, SC 29902-5494
Phone (843) 524-0232

Other identifiers 2

IdentifierTypeStateIssuer
0169920001OtherMEDICARE DURABLE MEDICAL
PD1297MedicaidSC

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100514000721 SC Practitioner - Podiatry 8123168713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1084 Ribaut Rd
Beaufort, SC 29902-5497
Phone (843) 524-0232

167 Bluffton Rd
E
Bluffton, SC 29910-6228
Phone (843) 757-1633

Hospital & facility affiliations

  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue834
Removal or shaving of skin growth37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129SCMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates PA Low Country Foot & Ankle Institute Inc Foot & Ankle Surgery CurrentSince Jul 1, 1997 Accepting new patients
Podiatry Associates PA Low Country Foot & Ankle Institute Inc Foot & Ankle Surgery CurrentSince Nov 4, 1995 Accepting new patients

Locations

1084 Ribaut Rd
Beaufort, SC 29902
Phone (803) 524-0232

1084 Ribaut Rd
Ste A
Beaufort, SC 29902
Phone (843) 524-0232

167 Bluffton Rd
Ste E
Bluffton, SC 29910
Phone (843) 757-1633

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1881604387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025494",
            "telephone_number": "843-524-0232",
            "fax_number": "843-524-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025494",
            "telephone_number": "843-524-0232",
            "fax_number": "843-524-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DURABLE MEDICAL",
            "identifier": "0169920001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD1297",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.