Edwards Health PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EDWARDS HEALTH PLLC

Practice address

4748 Main Street
Shallotte, NC 28470-1880

Phone

(910) 537-5919

NPI assigned

Dec 7, 2023

Last updated

Jan 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaylan Elizabeth Edwards, MDNPI 1396124467

Title

Owner

Phone

(910) 537-5919

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaylan Elizabeth Edwards, M.D.

  • Pediatrics Physician
  • Whiteville, NC
  • NPI 1396124467
  Medicare reassignment NPD Authorized official
• Samantha Suggs

  • Family Nurse Practitioner
  • Clarendon, NC
  • NPI 1508733973
  Medicare reassignment

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1952178105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SMITH AVE # 2035",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4748 MAIN STREET",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284701880",
            "telephone_number": "910-537-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KAYLAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-537-5919",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura O'Neill Douna, D.D.S.
• Dr. Christopher J. Moshoures Optometrist PA
• Michael Richard Duffy, OTRL,CHT
• Paola Duran-Negron, D.C.
• Edc Drug Stores (Rite Aid Pharmacy 11528)
• Jacob Elias
• Kristina Nicole Ellen, LPCA
• John Michael Elson, PT, DPT
• Emerald City Wellness PLLC
• Emergeortho PA

• Primary Care Clinic/Center in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.

Verify at the official NPI Registry.