Edgewater Medical Center and Urgent
NPI 1205865979ActiveOrganization· Internal Medicine· Lillington, NC
Internal Medicine in Lillington, North Carolina, registered in NPPES in July 2006, part of Edgewater Medical Center and Urgent. The authorized official on file is Rodolfo C. Reyes, M.D., Owner/Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205865979 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Edgewater Medical Center and Urgent |
| NPI issued | Jul 3, 2006 |
| Last updated in NPPES | Nov 9, 2023 |
| Certified by provider | Nov 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
| Podiatrist | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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