Individual provider Active NPI

Henry Garland Edmundson Jr., MD

  • Psychiatry Physician
  • Smithfield, NC
National Provider Identifier
1952529893
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200700197 Issued in NC
Practice address
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone
(919) 938-7558
Fax
(919) 934-7554
NPI assigned
Apr 24, 2007
Last updated
May 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 200700197 NC Primary

Addresses

Primary practice location

509 N Brightleaf Blvd
Smithfield, NC 27577-4407

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hedmundson148636@direct.UNC.nchie.net Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071212000773 NC Practitioner - Psychiatry 7214027309 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caldwell Memorial Hospital IncGroup PAC ID 5395646970, 212 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (828) 757-5100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200700197NCMDPsychiatry Physician
00197NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital Inc. CurrentSince Sep 25, 2023 Accepting new patients
County of Wake Psychiatry Current Accepting new patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Johnston County Public Health Department Psychiatry Current Accepting new patients
Caldwell Memorial Hospital, Inc. Psychiatry CurrentSince Sep 25, 2023 Accepting new patients
Unc Physicians Network LLC CurrentSince Dec 23, 2017 Accepting new patients
County of Johnston North Carolina Psychiatry CurrentSince Sep 27, 2014 Accepting new patients
Unc Physicians Network LLC CurrentSince Dec 23, 2017 Accepting new patients
University of North Carolina at Chapel Hill Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2138 Veterans Pkwy
Clayton, NC 27520
Phone (919) 585-8000

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

401 Mulberry St SW
Ste 102
Lenoir, NC 28645
Phone (828) 757-6434

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

220 Swinburne St
Raleigh, NC 27610
Phone (919) 212-9230

3010 Falstaff Rd
Raleigh, NC 27610
Phone (919) 250-3184

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

517 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 989-5200

521 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 989-5500

Interoperability endpoints

  • Direct secure messaging: hedmundson148636@direct.unc.nchie.net

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1952529893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-938-7558",
            "fax_number": "919-934-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMUNDSON",
        "first_name": "HENRY",
        "middle_name": "GARLAND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200700197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hedmundson148636@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "509 N Brightleaf Blvd",
            "city": "Smithfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275774407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.