EDGEWATER WOMEN'S HEALTH CENTRE (NPI# 1912969296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912969296 |
| Entity Type | Organization |
| Organization Name | EDGEWATER WOMEN'S HEALTH CENTRE |
| Practice Address |
548 Williamson Rd Suite 2 Mooresville NC 28117-9111 |
| Mailing Address |
Po Box 3484 Mooresville NC 28117-3484 |
| Practice Telephone | 7047991012 |
| Practice Fax Number | 7047991016 |
| Mailing Telephone | 7047991012 |
| Mailing Fax Number | 7047991016 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GRETA YVONNE WATTS (OWNER) |
| Authorized Official Telephone | 7047991012 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BC/BS NC | 014GT | 01 |
| Street Address |
548 WILLIAMSON RD SUITE 2 |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-9111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639161136 | Luanne V Gatlin | Internal Medicine | 548 Williamson Rd, Suite 6, Mooresville, NC 28117-9111 | 2005-08-19 |
| 1679125413 | Melanie Dreher | Nurse Practitioner | 548 Williamson Rd, Mooresville, NC 28117-8194 | 2019-07-11 |
| 1447625322 | Ann Cowen | Nurse Practitioner | 548 Williamson Rd, Suite 6, Mooresville, NC 28117-8194 | 2015-12-03 |
| 1013992668 | Angela Stack Harris | Optometrist | 548 Williamson Rd, Suite 1, Mooresville, NC 28117 | 2005-12-07 |
| 1912999434 | John C Gatlin | Internal Medicine | 548 Williamson Rd, Suite 6, Mooresville, NC 28117-9111 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548666878 | The Carolina Men's Clinic | Clinic/Center | 122 Gateway Blvd Ste D, Mooresville, NC 28117-5544 | 2014-11-13 |
| 1174738520 | Lake Norman Integrative Psychiatry | Clinic/Center | 116 S Main St Ste 301, Mooresville, NC 28115-2373 | 2007-05-11 |
| 1710274360 | Harbor Internal Medicine Pllc | Clinic/Center | 478 Williamson Rd, Suite B, Mooresville, NC 28117-8192 | 2011-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893734 | Blue Telepsych Urgent Care | Clinic/Center | 8406 Fiddlestick Way, Wilmington, NC 28412-3394 | 2020-08-28 |
| 1437771193 | Asheville Dermatology Professionals, PC | Clinic/Center | 900 Hendersonville Rd Ste 107, Asheville, NC 28803-1763 | 2020-05-15 |
| 1689210197 | Neogenix, PC | Clinic/Center | 16147 Lancaster Hwy Ste 140, Charlotte, NC 28277-4782 | 2019-11-19 |
| 1255898094 | Old Well Medicine, Pllc | Clinic/Center | 1505 Sw Cary Pkwy Ste 302, Cary, NC 27511-6219 | 2019-02-28 |
| 1396252680 | Envolve Optical Inc | Clinic/Center | 112 Zebulon Ct, Rocky Mount, NC 27804-2420 | 2018-01-08 |
| 1255877841 | Ray Mercado D.o.p.c | Clinic/Center | 1126 N Church St Ste 202, Greensboro, NC 27401-1035 | 2017-01-06 |
| 1295146389 | Monadnock Mind and Body | Clinic/Center | 3169 Nc 8 Hwy S, Autumn Square Suite #201, Walnut Cove, NC 27052-5693 | 2014-05-12 |
| 1093125627 | American Respiratory Labs In Home LLC | Clinic/Center | 6075 Thristlebrook, Hickory, NC 28602-8264 | 2014-05-05 |
| 1457780553 | Carolina Center for Women | Clinic/Center | 421 N Wendover Rd, Charlotte, NC 28211-1064 | 2013-11-08 |
| 1427496173 | Carolinas Weight Management | Clinic/Center | 2608 E. 7th St., Charlotte, NC 28204 | 2013-06-04 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
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| 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.