| Carl Edwards, | |
|
2720 Sunset Blvd, West Columbia, SC 29169-4810 | |
| (803) 791-2000 | |
| Not Available |
| Full Name | Carl Edwards |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 2720 Sunset Blvd, West Columbia, South Carolina |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184291593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 240130 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26259 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Floyd Medical Center | Rome, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Group Services, Llc | 0840338018 | 50 |
| Rg Anesthesia Llc | 1052543287 | 5 |
| Mak Anesthesia Georgia, Llc | 7315203718 | 92 |
| Entity Name | Georgia Group Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093947236 PECOS PAC ID: 0840338018 Enrollment ID: O20091109000203 |
| Entity Name | Rg Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235553421 PECOS PAC ID: 1052543287 Enrollment ID: O20140422001220 |
| Entity Name | Mak Anesthesia Northside Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Edwards, Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 935-8292 | Carl Edwards, 2720 Sunset Blvd, West Columbia, SC 29169-4810 Ph: (803) 791-2000 |
Aimee Yates Gondi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd., West Columbia, SC 29169 Phone: 803-791-2000 | |
Mrs. Aimee Ahn Durgin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Jeffrey M Scoggin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8538 Fax: 803-791-2660 | |
Noreen Lyday Dudley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Jessica Leigh Rosebrock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Hannah Elizabeth Garrison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8538 | |
Cori Jane Stroebel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8538 Fax: 803-791-2660 |