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MR. EDWARD CLARK BURNSIDE PA-C
NPI 1639492952
Physician Assistant - Medical in Mt Pleasant, SC

Active since March 02, 2010PECOS Enrolled
1028 EWALL ST, MT PLEASANT, SC 29464(843) 573-0499(843) 388-6292 Get Directions Write a Review

NPPES record last updated: March 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Edward Clark Burnside Pa-c NPPES

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

MR. EDWARD CLARK BURNSIDE PA-C (NPI 1639492952) is an individual medical provider in Mt Pleasant, South Carolina, licensed in South Carolina (TL 1511) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639492952
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. EDWARD CLARK BURNSIDECredential: PA-C
Location Address1028 EWALL STMt Pleasant, SC 29464-3046
Mailing AddressPo Box 81113, Ashley River StationCharleston, SC 29416-1113 · (843) 573-0499 · Fax (843) 388-6298
Phone(843) 573-0499
Fax(843) 388-6292
Sole ProprietorNo
Enumeration DateMarch 2, 2010
✔ NPI 1639492952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in SC · TL 1511
1028 EWALL ST, Mt Pleasant, SC 29464
Open in Google Maps ↗

Other Identifiers 1

OtherTL 1511SC · Sc State Temp License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Edward Clark Burnside Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NRA-MT. PLEASANT, SOUTH CAROLINA, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1028 EWALL ST
MOUNT PLEASANT, SC 29464
Charleston County (843) 884-3115

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 Edward Burnside's NPI number?

The NPI number for Edward Burnside is 1639492952. It was assigned to this individual provider in the NPPES registry on March 2, 2010.

Where is Edward Burnside located?

Edward Burnside practices at 1028 Ewall St, Mt Pleasant, SC 29464. The listed phone number is (843) 573-0499.

What is Edward Burnside's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Edward Burnside enrolled in Medicare?

Yes. Edward Burnside is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Burnside was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.