Individual provider Active NPI

Edisa Griffin Caldwell, FNP-C

  • Family Nurse Practitioner
  • Morganton, NC
National Provider Identifier
1922693605
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014168 Issued in NC
Practice address
145 W Parker Rd Ste C
Morganton, NC 28655-4649
Phone
(828) 608-0500
NPI assigned
Mar 4, 2021
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5014168 NC Primary

Addresses

Primary practice location

145 W Parker Rd Ste C
Morganton, NC 28655-4649

Mailing address

145 W Parker Rd Ste C
Morganton, NC 28655-4628
Phone (828) 608-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211227000040 NC Practitioner - Nurse Practitioner 2860883097 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Recover Together, Inc. Family CurrentSince Dec 1, 2021 Accepting new patients
Metro Treatment of North Carolina L P CurrentSince Apr 5, 2021 Accepting new patients
Recover Together, Inc. PastSince Apr 1, 2020 Accepting new patients

Locations

Dept CH 17590
Palatine, IL 60055
Phone (844) 450-3100

59 Haywood Office Park
Ste 2
Waynesville, NC 28785

Organizations & group practices 3

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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1922693605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W PARKER RD STE C",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554628",
            "telephone_number": "828-608-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W PARKER RD STE C",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554649",
            "telephone_number": "828-608-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "EDISA",
        "middle_name": "GRIFFIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.