Thomas B Edmunds, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

22045 Issued in SC

Practice address

2724 Middleburg Dr
Columbia, SC 29204-2437

Phone

(803) 251-6602

Fax

(803) 251-6605

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

UrologyAlso: General Surgery

Education

Medical University of South Carolina College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Capitol Urology, PA

  • Urology Physician
  • Columbia, SC
  • NPI 1992898076

  SC, Urology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1962443887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 MIDDLEBURG DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042437",
            "telephone_number": "803-251-6602",
            "fax_number": "803-251-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 MIDDLEBURG DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042437",
            "telephone_number": "803-251-6602",
            "fax_number": "803-251-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMUNDS",
        "first_name": "THOMAS",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "22045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220451",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Leon Edmonds Jr.
• Layla Marie Edmonds, LMT
• Shantel Edmonds
• Dyne Edmondson
• Holly C. Edmunds, APRN
• Virginia Gray Edmunds, PTA
• Calvin A. Edmundson, LPC
• Marc Edmundson, PHARMD
• Danna Mae Cawagas Edu
• Lateka Edwards-Wise

• All providers in Columbia, SC
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.