CRYSTAL EDWARDS P.A.-C
NPI 1992795041
Physician Assistant, Medical in Bladenboro,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 28, 2005

Contact Information

125 S Main St Ste A
Bladenboro,
Post Code: 28320
Phone: (910) 809-0030
Fax: -

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Crystal Edwards P.a.-c in Bladenboro - Physician Assistant, Medical

Crystal Edwards P.a.-c is a Physician Assistant, Medical in Bladenboro, . Crystal Edwards P.a.-c practices all healthcare services and medical treatments related to Physician Assistant, Medical. The NPI Number for Crystal Edwards P.a.-c is 1992795041. The last update date is 2024-06-13.

Crystal Edwards P.a.-c's current location address is 125 S Main St Ste A, Bladenboro, . You can contact this provider via phone number (910) 809-0030 and fax number -. The mailing address for Crystal Edwards P.a.-c is 125 S Main St Ste A, Bladenboro, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1992795041
Provider Name
CRYSTAL EDWARDS P.A.-C
Gender
Female
Entity Type
Individual
Location Address
125 S Main St Ste A, Bladenboro,
Location Phone
(910) 809-0030
Location Fax
-
Mailing Address
Po Box 88, Bladenboro, North Carolina(NC)
Mailing Phone
910-809-0030
Mailing Fax
-
Enumeration Date
2005-10-28
Last Update Date
2024-06-13
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
-
License No.
103768
License State
North Carolina (NC)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 363AM0700X Medical Physician Assistant

Physician Assistant, Medical

()

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02703 Other (non-Medicare) (01) North Carolina (NC) BCBS
8941520 MEDICAID (05) North Carolina (NC)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992795041
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291821491008
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 291821491008
2 + 9 + 1 + 8 + 2 + 1 + 4 + 9 + 1 + 0 + 0 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1 1

The NPI number 1992795041 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992795017 SIX FORKS RESCUE SQUAD, INC.
Organization
Ambulance PO BOX 863
LEWISVILLE, North Carolina (NC)
800-814-5339
1992794812 RICHARD JOHN POLLARD
Individual
Anesthesiology PO BOX 36351
CHARLOTTE, North Carolina (NC)
704-377-5772
1992794614 DAVID DONALD FRASER
Individual
Internal Medicine, Rheumatology 1126B KELLUM LOOP RD
JACKSONVILLE, North Carolina (NC)
910-577-0177
1992794382 WILLIAM SCOTT CRAIG
Individual
Psychologist, Clinical PO BOX 71061
CHARLOTTE, North Carolina (NC)
704-721-7430
1992794291 REBECCA DUNG RUNG
Individual
Family Medicine PO BOX 19305
CHARLOTTE, North Carolina (NC)