Edgewater Medical Center and Urgent
NPI 1205865979 · Internal Medicine Physician · Lillington, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edgewater Medical Center and Urgent is a Internal Medicine Physician organization in Lillington, NC (NPI 1205865979).
Provider details
- NPI number
- 1205865979
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Edgewater Medical Center and Urgent
- Organization subpart
- Yes
- Authorized official
- Rodolfo Reyes, Owner/Manager(910) 893-4111
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Podiatrist213E00000X
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Edgewater Medical Center and Urgent Care
- Doing business as
- Edgewater Medical Center and Urgent Care
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2023-11-09
- Certified
- 2023-11-09
Frequently asked questions
- What is Edgewater Medical Center and Urgent's NPI number?
- Edgewater Medical Center and Urgent's National Provider Identifier (NPI) is 1205865979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edgewater Medical Center and Urgent?
- Edgewater Medical Center and Urgent is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Edgewater Medical Center and Urgent located?
- Edgewater Medical Center and Urgent's practice location on file with NPPES is 100 S 10th Street, Lillington, NC 27546-6690.
- What is Edgewater Medical Center and Urgent's phone number?
- The practice phone number listed in the NPPES registry for Edgewater Medical Center and Urgent is (910) 893-4111.
- Does Edgewater Medical Center and Urgent accept Medicare?
- Edgewater Medical Center and Urgent is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Edgewater Medical Center and Urgent?
- The authorized official listed on Edgewater Medical Center and Urgent's NPPES record is Rodolfo Reyes, Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edgewater Medical Center and Urgent's NPI active?
- Yes — Edgewater Medical Center and Urgent's NPI (1205865979) is active in the NPPES registry as of the last update on 2023-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.