DR. EDWIN RAY CONNELLY DDS
NPI 1962482414
Dentist - General Practice in Beaufort, SC

Active since January 20, 2006PECOS Enrolled
1 PINCKEY BLVD, BEAUFORT, SC 29902(843) 228-4911 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Edwin Ray Connelly Dds NPPES

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

DR. EDWIN RAY CONNELLY DDS (NPI 1962482414) is an individual general practice provider in Beaufort, South Carolina, licensed in Arkansas (2073) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962482414
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EDWIN RAY CONNELLYCredential: DDS
Location Address1 PINCKEY BLVDBeaufort, SC 29902
Mailing Address132 Fuller StreetBeaufort, SC 29902 · (843) 228-4911
Sole ProprietorYes
Enumeration DateJanuary 20, 2006
Last NPPES UpdateJuly 13, 2007
NPI 1962482414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AR · 2073
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1 PINCKEY BLVD, Beaufort, SC 29902

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Edwin Ray Connelly Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29902 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
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

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 Edwin Connelly's NPI number?

The NPI number for Edwin Connelly is 1962482414. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Edwin Connelly located?

Edwin Connelly practices at 1 Pinckey Blvd, Beaufort, SC 29902. The listed phone number is (843) 228-4911.

What is Edwin Connelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Edwin Connelly enrolled in Medicare?

Yes. Edwin Connelly is registered in the Medicare PECOS enrollment system.

What insurance does Edwin Connelly accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 6 other insurers list Edwin Connelly 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 Edwin Connelly was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.