Active NPI
Walter Garland Edwards Jr., M.D.
- Nephrology Physician
- Columbia, SC
National Provider Identifier
1982924304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 4799
- Practice address
- 6447 Eastshore Rd
Columbia, SC 29206-3305 - Phone
- (803) 787-8310
- NPI assigned
- Jun 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 4799 | SC | Primary |
Addresses
Primary practice location
6447 Eastshore Rd
Columbia, SC 29206-3305
Mailing address
6447 Eastshore Rd
Columbia, SC 29206-3305
Phone (803) 787-8310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4799 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275955200000",
"number": "1982924304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6447 EASTSHORE RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292063305",
"telephone_number": "803-787-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6447 EASTSHORE RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292063305",
"telephone_number": "803-787-8310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "WALTER",
"middle_name": "GARLAND",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-08",
"last_updated": "2010-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "SC",
"license": "4799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.