1. Home
  2. Directory
  3. North Carolina
  4. Lillington
  5. Internal Medicine
  6. NPI Profile

EDGEWATER MEDICAL CENTER AND URGENT CARE
NPI 1205865979
Internal Medicine in Lillington, NC

Active since July 03, 2006
100 S 10TH STREET, LILLINGTON, NC 27546(910) 893-4111(910) 893-9850 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edgewater Medical Center And Urgent Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGEWATER MEDICAL CENTER AND URGENT CARE (NPI 1205865979) is a healthcare organization registered as an internal medicine in Lillington, North Carolina and active in the NPI registry since July 2006. The organization lists Rodolfo C Reyes, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1205865979
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEDGEWATER MEDICAL CENTER AND URGENT
Location Address100 S 10TH STREETLillington, NC 27546-6690
Mailing Address100 S 10th StreetLillington, NC 27546-6690 · (910) 893-4111 · Fax (910) 893-9850
Phone(910) 893-4111
Fax(910) 893-9850
Organization SubpartYes
Authorized OfficialRodolfo C ReyesOwner/manager · (910) 893-4111
Enumeration DateJuly 3, 2006
Last NPPES UpdateNovember 9, 2023
NPPES CertifiedNovember 9, 2023
✔ NPI 1205865979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X
Also ListedPodiatristTaxonomy 213E00000X
100 S 10TH STREET, Lillington, NC 27546
Open in Google Maps ↗

Other Names 1

Doing Business AsEdgewater Medical Center And Urgent Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edgewater Medical Center And Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Edgewater Medical Center And Urgent Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Carla Brown, FNP
Nurse Practitioner
NPI 1356508360
100 S 10TH ST
Lillington, NC 27546
(910) 893-4111
✔ PECOS✔ Accepts MedicareSame address
Monica Mclaughlin, FNP
Nurse Practitioner
NPI 1780169623
101 COTTEN LN
Holly Springs, NC 27540
(919) 235-6456
✔ PECOS✔ Accepts Medicare17 mi
Elizabeth Laney, DNP, FNP-BC
Nurse Practitioner
NPI 1215410139
4191 THE CIRCLE AT NORTH HILLS ST
Raleigh, NC 27609
(919) 786-2534
✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgewater Medical Center And Urgent's NPI number?

The NPI number for Edgewater Medical Center And Urgent is 1205865979. It was assigned to this organization in the NPPES registry on July 3, 2006. The provider is doing business as Edgewater Medical Center And Urgent Care.

Where is Edgewater Medical Center And Urgent located?

Edgewater Medical Center And Urgent is located at 100 S 10th Street, Lillington, NC 27546. The listed phone number is (910) 893-4111.

What is Edgewater Medical Center And Urgent's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edgewater Medical Center And Urgent enrolled in Medicare?

Yes. Edgewater Medical Center And Urgent is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edgewater Medical Center And Urgent?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Edgewater Medical Center And Urgent. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Edgewater Medical Center And Urgent was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.