Individual provider Active NPI

Anne Louise Edwards, MD

  • Plastic Surgery Physician
  • Charleston, SC
National Provider Identifier
1942258561
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
16959 Issued in SC
Practice address
2060 Charlie Hall Blvd Ste a
Charleston, SC 29414-6066
Phone
(843) 483-0193
Fax
(839) 213-4599
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 16959 SC Primary

Addresses

Primary practice location

2060 Charlie Hall Blvd Ste a
Charleston, SC 29414-6066

Mailing address

2060 Charlie Hall Blvd Ste a
Charleston, SC 29414-6066
Phone (843) 483-0193

Other practice location 1

2097 Henry Tecklenburg Drive
Suite 322 West
Charleston, SC 29414
Phone (843) 769-6608

Other practice location 2

5401 Netherby Ln Ste 301
North Charleston, SC 29420-7364
Phone (843) 483-0193

Other identifiers 2

IdentifierTypeStateIssuer
169597MedicaidSC
GP 1441MedicaidSC

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210001007 SC Practitioner - Plastic and Reconstructive Surgery 6406036276 Reassigns benefits to 1 organization
Practice locations: Charleston, SC

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Medical University of South Carolina College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Wound Care LLCGroup PAC ID 4587018437, 3 clinicians

Practice addresses (Care Compare)

2060 Charlie Hall Blvd
Suite a
Charleston, SC 29414-6066
Phone (843) 483-0193

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue601
Removal of skin lesions29
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Wound Care, LLC CurrentSince Feb 1, 2024 Accepting new patients
Carolina Dermatology Clinic, PA Past Accepting new patients
TCG Medical Specialists LLC PastSince Apr 6, 2021 Accepting new patients

Locations

2060 Charlie Hall Blvd
Ste A
Charleston, SC 29414
Phone (843) 483-0193

5401 Netherby Ln
Ste 301
North Charleston, SC 29420
Phone (843) 483-0193

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1942258561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 CHARLIE HALL BLVD STE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146066",
            "telephone_number": "843-483-0193",
            "fax_number": "839-213-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 CHARLIE HALL BLVD STE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146066",
            "telephone_number": "843-483-0193",
            "fax_number": "839-213-4599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2097 Henry Tecklenburg Drive",
            "address_2": "Suite 322 West",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29414",
            "country_code": "US",
            "telephone_number": "843-769-6608",
            "fax_number": "843-769-5128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5401 Netherby Ln Ste 301",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294207364",
            "country_code": "US",
            "telephone_number": "843-483-0193",
            "fax_number": "839-213-4599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ANNE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "16959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169597",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP 1441",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.