Edward Willis Love Jr., MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2008-00632 Issued in NC

Practice address

320 Boulevard St
High Point, NC 27262-3802

Phone

(336) 878-6226

Fax

(336) 878-6272

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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 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

Specialty

Psychiatry

Education

Medical College of Georgia School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elove2755025@carolinashealthcaresystem.direct-ci.com

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.

• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1003803032
  Medicare reassignment Care Compare group NPD
• High Point Regional Health

  • General Acute Care Hospital
  • High Point, NC
  • NPI 1396746228
  Medicare reassignment NPD
• High Point Regional Health

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1194123810
  NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1962570531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 WESTCHESTER DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627285",
            "telephone_number": "336-883-2500",
            "fax_number": "336-883-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BOULEVARD ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623802",
            "telephone_number": "336-878-6226",
            "fax_number": "336-878-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "EDWARD",
        "middle_name": "WILLIS",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2008-00632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kia Long
• Clariberci Lopez, MSW, LCSW-A
• Lizbeth Jaimes Lopez
• Lori S. Dixon
• Douglas K. Louk, MD
• Kelley Lowery, PA
• LSM Enterprizes, Inc.
• Ltanya Joy Bailey Orthodontist
• Keisha Yolanda Lucas, RN
• Michael J Lucas, MD

• Psychiatry Physician in High Point, NC
• Providers in High Point, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.