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

Last updated

Dec 13, 2007By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capitol Urology, PA

  • Urology Physician
  • Columbia, SC
  • NPI 1992898076
  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": [],
    "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

• Urology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• 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.