EDGE HEALTH, PC (NPI# 1740897321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740897321 |
| Entity Type | Organization |
| Organization Name | EDGE HEALTH, PC |
| Practice Address |
1703 Laurel St Columbia SC 29201-2660 |
| Mailing Address |
80 Cedar Rd Medford MA 02155-3113 |
| Practice Telephone | 7818014120 |
| Mailing Telephone | 7818014120 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | JOHN TAYLOR (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3152257217 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AuthorCare | Other Name - Individual/Organization |
| Street Address |
1703 LAUREL ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588175087 | Palmetto Mobile Dental Centers LLC | Dentist | 1703 Laurel St, Columbia, SC 29201-2660 | 2017-10-24 |
| 1689275224 | Keara Ann Lincoln | Psychiatry & Neurology | 1703 Laurel St, Columbia, SC 29201-2660 | 2020-11-02 |
| 1902404866 | Hospitalist Medicine Physicians of South Carolina - Aiken, LLC | Anesthesiology | 1703 Laurel St, Columbia, SC 29201-2660 | 2020-10-13 |
| 1477175958 | 360care LLC | Optometrist | 1703 Laurel St, Columbia, SC 29201-2660 | 2020-05-07 |
| 1497377980 | 360care LLC | Nurse Practitioner | 1703 Laurel St, Columbia, SC 29201-2660 | 2020-05-07 |
| 1780206276 | 360care LLC | Podiatrist | 1703 Laurel St, Columbia, SC 29201-2660 | 2020-05-07 |
| 1336760909 | 360care LLC | Dentist | 1703 Laurel St, Columbia, SC 29201-2660 | 2020-05-05 |
| 1619598281 | 360care LLC | Audiologist | 1703 Laurel St, Columbia, SC 29201-2660 | 2020-05-05 |
| 1528687126 | Vitae Health Medical South Carolina LLC | Social Worker | 1703 Laurel St, Columbia, SC 29201-2660 | 2020-04-14 |
| 1982244885 | Humana Benefit Plan of South Carolina, Inc. | Health Maintenance Organization | 1703 Laurel St, Columbia, SC 29201-2660 | 2020-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1043835879 | Vida Gholami Yousefian | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-08 |
| 1750910857 | Innovative Tms LLC | Psychiatry & Neurology | 9256 Bendix Rd Ste 205, Columbia, MD 21045-1848 | 2020-04-02 |
| 1063061620 | Hopefull Counseling and Psychiatry LLC | Psychiatry & Neurology | 1421 Calhoun St, Columbia, SC 29201-2509 | 2019-09-06 |
| 1750939864 | Brave, LLC | Psychiatry & Neurology | 2100 Forum Blvd Ste C-2, Columbia, MO 65203-5436 | 2019-09-01 |
| 1073171344 | Himangshu Rathinakumar | Psychiatry & Neurology | University of Missouri 1 Hospital Drive Dco67.00, Columbia, MO 65212-0001 | 2019-06-03 |
| 1154988822 | Alliance Psychiatry LLC | Psychiatry & Neurology | 8840 Stanford Blvd Ste 4000, Columbia, MD 21045-5850 | 2019-05-28 |
| 1285194613 | Mind Matters LLC | Psychiatry & Neurology | 3201 S Providence Rd Ste 202, Columbia, MO 65203-3622 | 2019-03-21 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on EDGE HEALTH, PC.
| 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.