MR. CHARLES DAVID EDWARDS (NPI# 1578841631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578841631 |
| Entity Type | Individual |
| Full Name | MR. CHARLES DAVID EDWARDS |
| Credential | PMHNP |
| Practice Address |
279 N Grove Medical Park Dr Spartanburg SC 29303-4222 |
| Practice Telephone | 8645827025 |
| Mailing Telephone | 8645827025 |
| Enumeration Date | 2011-07-23 |
| Last Update Date | 2017-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4377 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1821371170 | Charles Harvey Edwards | Pharmacist | 9201 Old Henry Rd, Louisville, KY 40245-6003 | 2011-09-23 |
| 1538466206 | Charles Louis Edwards | Internal Medicine | 1137 Took Pl, Florence, SC 29505-6482 | 2011-02-16 |
| 1063505972 | Charles Lindsay Edwards | Psychiatry & Neurology | 17860 Wards Ferry Rd, Sonora, CA 95370-8655 | 2006-10-02 |
| 1477656064 | Charles M Edwards Jr. | Dentist | 774 N Edgewood Ave, Jacksonville, FL 32254 | 2006-09-07 |
| 1447291067 | Charles Christopher Edwards | Internal Medicine | 4315 Diplomacy Drive, Anchorage, AK 99508-5926 | 2006-06-08 |
| 1013966019 | Charles L Edwards | Dentist | 5509 Young St, Bakersfield, CA 93311-9648 | 2006-05-08 |
| 1386621316 | Charles Archer Edwards | Chiropractor | 749 E Main St, Barnesville, OH 43713-1456 | 2005-12-30 |
| 1336690189 | Charles Freemen Edwards | Peer Specialist | 537 Se Alder St, Portland, OR 97214-2231 | 2016-10-17 |
| 1639574288 | Charles Warren Edwards | Physical Therapist | 73 Old Dublin Pike, Suite 6, Doylestown, PA 18901-2491 | 2014-10-24 |
| Street Address |
279 N GROVE MEDICAL PARK DR |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-4222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336152586 | Nannette Marie Petersen | Family Medicine | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2006-08-15 |
| 1528437837 | Joneisha Parson | Social Worker | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2015-09-16 |
| 1598103343 | Shannon Schreiner | Dietitian, Registered | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2013-06-13 |
| 1134431349 | Jabran Akhtar Hussain | Family Medicine | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2010-07-06 |
| 1861643181 | Columbia Vamc | Clinic/Center | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2008-10-06 |
| 1760689079 | Olga Marina Colon | Specialist | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674009 | Carl Vincent Witherspoon | Nurse Practitioner | 239 Access Rd, Spartanburg, SC 29303-1682 | 2020-09-19 |
| 1184256174 | Kevin L Cromer | Nurse Practitioner | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2020-02-07 |
| 1992354393 | Patrick David Whitfield | Nurse Practitioner | 391 Serpentine Dr Ste 400, Spartanburg, SC 29303-3081 | 2019-09-09 |
| 1083099857 | Kristin Elena Klimbal | Nurse Practitioner | 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303-3096 | 2015-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831708296 | The Integrated Wellness Center, LLC | Nurse Practitioner | 738 W Liberty St Ste B, Sumter, SC 29150-4745 | 2020-07-30 |
| 1033737903 | Danielle Ledwell | Nurse Practitioner | 109 Bee St Fl 5, Charleston, SC 29401-5703 | 2020-07-08 |
| 1821612615 | Hannah Olivia Robidoux | Nurse Practitioner | 109 Montelena Dr, Lexington, SC 29072-6911 | 2020-06-08 |
| 1376172502 | Luron M Fleming | Nurse Practitioner | 712 Arlington Ave, Greenville, SC 29601-3206 | 2020-04-08 |
| 1760017651 | Kandice Rivers | Nurse Practitioner | 8504 Chloe Ln, North Charleston, SC 29406-8100 | 2020-03-11 |
| 1194350447 | Angela M. Strange | Nurse Practitioner | 109 Brookhaven Dr, Moore, SC 29369-9750 | 2020-03-06 |
| 1144851742 | Patricia Deane | Nurse Practitioner | 430 Cox Rd, Greer, SC 29651-7260 | 2020-02-01 |
| 1497386155 | Michelle Yvette Pinckney | Nurse Practitioner | 1094 Williams Rd, Charleston, SC 29412-5322 | 2020-01-31 |
| 1619515632 | Leah R Hunter | Nurse Practitioner | 53 Antique Rose Ct, Irmo, SC 29063-7501 | 2019-12-20 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
Please comment or provide details below to improve the information on MR. CHARLES DAVID EDWARDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.