OrganizationActive
Edenton Urology Clinic
NPI 1578630398 · Urology Physician · Edenton, NC
Edenton Urology Clinic is a Urology Physician organization in Edenton, NC (NPI 1578630398).
Provider details
- NPI number
- 1578630398
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joel Reynolds, President(252) 482-1606
- License
- 9900331 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
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
210 N Broad St
Edenton, NC 27932
Phone: (252) 482-1606
Fax: (252) 482-1611
Street-level locationGet directions
Mailing address
210 N Broad St
Edenton, NC 27932-1904
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2020-08-22
Frequently asked questions
- What is Edenton Urology Clinic's NPI number?
- Edenton Urology Clinic's National Provider Identifier (NPI) is 1578630398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edenton Urology Clinic?
- Edenton Urology Clinic is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Edenton Urology Clinic located?
- Edenton Urology Clinic's practice location on file with NPPES is 210 N Broad St, Edenton, NC 27932.
- What is Edenton Urology Clinic's phone number?
- The practice phone number listed in the NPPES registry for Edenton Urology Clinic is (252) 482-1606.
- Who is the authorized official for Edenton Urology Clinic?
- The authorized official listed on Edenton Urology Clinic's NPPES record is Joel Reynolds, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edenton Urology Clinic's NPI active?
- Yes — Edenton Urology Clinic's NPI (1578630398) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.