Active NPI
Yvette Erica Edwards, DC
- Chiropractor
- Greenville, SC
National Provider Identifier
1912077173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2935
- Practice address
- 1272 Woodruff Rd
Greenville, SC 29607-5754 - Phone
- (864) 288-2136
- Fax
- (864) 288-6818
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2935 | SC | Primary |
Addresses
Primary practice location
1272 Woodruff Rd
Greenville, SC 29607-5754
Mailing address
1272 Woodruff Rd
Greenville, SC 29607-5754
Phone (864) 288-2136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
403 Parker Ivey Dr
Greenville, SC 29607-6513
Phone (864) 288-2136
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2935 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Health and Wellness Medical Center LLC | Current | Accepting new patients | |
| Life Chiropractic Clinic | Chiropractor | Current | Accepting new patients |
Locations
403 Parker Ivey Dr
Greenville, SC 29607
Phone (864) 288-2136
1272 Woodruff Rd
Greenville, SC 29607
Phone (864) 288-2136
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.
-
- Chiropractor
- Greenville, SC
- NPI 1437322245
-
- Family Medicine Physician
- Greenville, SC
- NPI 1639037534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1912077173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1272 WOODRUFF RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075754",
"telephone_number": "864-288-2136",
"fax_number": "864-288-6818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1272 WOODRUFF RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075754",
"telephone_number": "864-288-2136",
"fax_number": "864-288-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "YVETTE",
"middle_name": "ERICA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.