DR. NICOLE YVONNE EDWARDS D.O.
NPI 1639378987
Family Medicine in Columbia, SC

Q: What is Nicole Edwards's NPI number?

The NPI number for Nicole Edwards is 1639378987. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Q: What is Nicole Edwards's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Edwards was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since July 17, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1313 SAINT ANDREWS RD STE 3, COLUMBIA, SC 29210(803) 543-2913(803) 708-4365 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Nicole Yvonne Edwards D.o. NPPES

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

DR. NICOLE YVONNE EDWARDS D.O. (NPI 1639378987) is an individual family medicine provider in Columbia, South Carolina, licensed in South Carolina (1090) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Lake Regional Health System, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1639378987

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NICOLE YVONNE EDWARDSCredential: D.O.

Location Address1313 SAINT ANDREWS RD STE 3Columbia, SC 29210

Mailing Address7001 Saint Andrews Rd Ste 428Columbia, SC 29212-1137 · (803) 543-2913 · Fax (803) 708-4365

Phone(803) 543-2913

Fax(803) 708-4365

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 17, 2007

Last NPPES UpdateOctober 24, 2024

NPPES CertifiedOctober 24, 2024

✔ NPI 1639378987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in SC · 1090✔ Licensed in MO · 2024041698

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1313 SAINT ANDREWS RD STE 3, Columbia, SC 29210

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1612 Saint Andrews Rd Ste 2Columbia, SC 29210-5120 · Phone (803) 386-8684 · Fax (844) 364-9446

Location 21000 Palmetto Health Parkway, Suite 104Columbia, SC 29212 · Phone (803) 999-1214 · Fax (803) 999-1215

Location 31722 Clarkson RdChesterfield, MO 63017-4976 · Phone (636) 206-2665 · Fax (636) 206-2664

Other Identifiers 1

Medicaid010909SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicole Yvonne Edwards D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113057068

PECOS Enrollment IDI20100619000053, I20241031003548

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Nicole Edwards reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Active Life Health Of Columbia, LLC

2.4 mi

Physical Medicine & Rehabilitation

2000 CENTER POINT RD STE 2360
Columbia, SC 29210

Reassigned Medicare billing, South Carolina enrollment
11 clinicians in this Medicare group

NPI 1104425529 (803) 233-5500

Mercy East Ambulatory Services LLC

613 mi

Urgent Care

1722 CLARKSON RD
Chesterfield, MO 63017

Reassigned Medicare billing, Missouri enrollment
169 clinicians in this Medicare group

NPI 1134673148 (636) 206-2665

Mercy Southern Missouri Ambulatory Services LLC

717 mi

Urgent Care

900 E BATTLEFIELD ST STE 124
Springfield, MO 65807

Reassigned Medicare billing, Missouri enrollment
94 clinicians in this Medicare group

NPI 1871094052 (417) 556-8967

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

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml Q9965

Low osmolar contrast material with 100-199 mg/ml iodine concentration is a type of dye used in medical imaging tests. It helps to clearly highlight certain areas in the body, improving the quality of images and aiding in accurate diagnosis. It's generally safe and well-tolerated.

30,000 services244 patients

Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg J7320

Genvisc 850 is an injection containing hyaluronan, a substance naturally found in your joints. It helps to lubricate and cushion your joints. This treatment is used to relieve knee pain due to osteoarthritis when other treatments have not worked.

14,375 services171 patients

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325

Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.

1,520 services39 patients

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304

Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.

1,440 services34 patients

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966

Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.

1,300 services13 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

614 services244 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

614 services244 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

185 services98 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

71 services65 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

43 services31 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

41 services41 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260186

Location54 Hospital DriveOsage Beach, MO 65065 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1843

DME-Orthotic Devices · category DF011N

1 supplier25 claims38 services$743.17 avg. paid by Medicare

DME-Orthotic Devices · category DF011N

1 supplier18 claims30 services$1,294.71 avg. paid by Medicare

Addition to lower extremity orthosis, suspension sleeve L2397

DME-Orthotic Devices · category DF000N

1 supplier41 claims64 services$90.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nicole Edwards's NPI number?

The NPI number for Nicole Edwards is 1639378987. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Nicole Edwards located?

Nicole Edwards practices at 1313 Saint Andrews Rd Ste 3, Columbia, SC 29210. The listed phone number is (803) 543-2913.

What is Nicole Edwards's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Edwards enrolled in Medicare?

Yes. Nicole Edwards is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicole Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Edwards reassigns Medicare benefits to 3 organizations: Active Life Health Of Columbia, LLC (Columbia, SC), Mercy East Ambulatory Services LLC (Chesterfield, MO) and Mercy Southern Missouri Ambulatory Services LLC (Springfield, MO). Each 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 Nicole Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Edwards accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield and BlueCross BlueShield of South Carolina list Nicole Edwards as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Edwards affiliated with any hospitals?

According to CMS data, Nicole Edwards is affiliated with Lake Regional Health System.

When was this NPI record last updated?

The NPPES record for Nicole Edwards was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.