Edgewater Women'S Health Centre

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

EDGEWATER WOMEN'S HEALTH CENTRE

Practice address

548 Williamson Rd
Suite 2
Mooresville, NC 28117-9111

Phone

(704) 799-1012

Fax

(704) 799-1016

NPI assigned

Apr 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Greta Yvonne Watts, MDNPI 1871555227

Title

Owner

Phone

(704) 799-1012

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Greta Watts, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Temple Terrace, FL
  • NPI 1871555227
  NPD (past) Authorized official

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912969296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3484",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281173484",
            "telephone_number": "704-799-1012",
            "fax_number": "704-799-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 WILLIAMSON RD",
            "address_2": "SUITE 2",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179111",
            "telephone_number": "704-799-1012",
            "fax_number": "704-799-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWATER WOMEN'S HEALTH CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "GRETA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-799-1012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NC",
            "identifier": "014GT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley J Dzikowski, P.T.
• Patricia Easton
• Shasta Leann Ebert
• Eckerd Corporation
• Stefani T Eddins
• William John Edmiston Jr., MD
• Haili Edwards
• Krisandra Marie Edwards, FNP-C
• Gale Egendoerfer
• Adam Ehinger, OTA/L

• Medical Specialty Clinic/Center in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.