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JAMES MERRITT EDWARDS MD
NPI 1801112305
Obstetrics & Gynecology - Maternal & Fetal Medicine in Raleigh, NC

Active since April 09, 2010PECOS EnrolledAccepts Medicare Assignment
23 SUNNYBROOK RD, RALEIGH, NC 27610(919) 350-6002 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James Merritt Edwards Md NPPES

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

JAMES MERRITT EDWARDS MD (NPI 1801112305) is an individual maternal & fetal medicine provider in Raleigh, North Carolina, licensed in North Carolina (2014-01493) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2010).

NPPES Registry Identity

NPI1801112305
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameJAMES MERRITT EDWARDSCredential: MD
Location Address23 SUNNYBROOK RDRaleigh, NC 27610-1855
Mailing Address2920 Highwoods BlvdRaleigh, NC 27604-0010 · (877) 498-4490
Phone(919) 350-6002
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2010
Enumeration DateApril 9, 2010
Last NPPES UpdateFebruary 22, 2021
NPPES CertifiedFebruary 22, 2021
✔ NPI 1801112305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in NC · 2014-01493
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 2014-01493 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
23 SUNNYBROOK RD, Raleigh, NC 27610
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

James Merritt Edwards Md 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 ID5395067409
PECOS Enrollment IDI20141126001923
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 Reassignment

Medicare enrollment records show James Edwards reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wakemed Specialists Group LLC
Same address
Neurology with Special Qualifications in Child Neurology
23 SUNNYBROOK RD
Raleigh, NC 27610
  • Reassigned Medicare billing, North Carolina enrollment
  • 997 clinicians in this Medicare group
NPI 1003751900 (919) 350-8000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

WAKEMED SPECIALISTS GROUP LLC
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 350-8000
JEFF LAWRENCE KANTOR MD
Pediatrics (Pediatric Gastroenterology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 235-6435
VESHANA SINTHAL RAMIAH MD
Internal Medicine (Hematology & Oncology)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 350-7193
DR. COLIN BRUCE MUNCIE M.D.
Surgery (Pediatric Surgery)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 350-8797
MRS. ALESIA PERKINS GILMORE MS, LCMHC, LPC
Counselor (Mental Health)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 235-6510
MRS. ELLEN ROBIA HOLLOWAY PA-C
Physician Assistant (Medical)
23 SUNNYBROOK RD, SUITE 220
RALEIGH, NC 27610
Wake County (919) 350-2873
ASTHA THAKKAR MD
Internal Medicine (Hematology & Oncology)
23 SUNNYBROOK RD, SUITE 220
RALEIGH, NC 27610
Wake County (919) 350-2873
LITASHA WILSON
Social Worker (Clinical)
23 SUNNYBROOK RD
RALEIGH, NC 27610
Wake County (919) 212-3011

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 James Edwards's NPI number?

The NPI number for James Edwards is 1801112305. It was assigned to this individual provider in the NPPES registry on April 9, 2010.

Where is James Edwards located?

James Edwards practices at 23 Sunnybrook Rd, Raleigh, NC 27610. The listed phone number is (919) 350-6002.

What is James Edwards's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is James Edwards enrolled in Medicare?

Yes. James 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 organization bills Medicare for James Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Edwards reassigns Medicare benefits to Wakemed Specialists Group LLC (Raleigh, NC). The 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 James Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Edwards accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Cigna Healthcare list James 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.

When was this NPI record last updated?

The NPPES record for James Edwards was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.