Dr Nicole Yvonne Edwards, DO - Medicare Family Practice in Columbia, SC

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Dr Nicole Yvonne Edwards, DO is a medicare enrolled "Family Medicine" physician in Columbia, South Carolina. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Active Life Health Of Columbia Llc and her current practice location is 1313 Saint Andrews Rd Ste 3, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 543-2913.

Dr Nicole Yvonne Edwards is licensed to practice in South Carolina (license number 1090) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639378987.

Contact Information

Dr Nicole Yvonne Edwards, DO
1313 Saint Andrews Rd Ste 3,
Columbia, SC 29210
(803) 543-2913
(803) 708-4365

Map and Direction




Physician's Profile

Full NameDr Nicole Yvonne Edwards
GenderFemale
SpecialityFamily Practice
Experience17 Years
Location1313 Saint Andrews Rd Ste 3, Columbia, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nicole Yvonne Edwards attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2007
  NPI Data:
  • NPI Number: 1639378987
  • Provider Enumeration Date: 07/17/2007
  • Last Update Date: 10/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7113057068
  • Enrollment ID: I20100619000053

Medical Identifiers

Medical identifiers for Dr Nicole Yvonne Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639378987NPI-NPPES
010909MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 1090 (South Carolina)Primary
207Q00000XFamily Medicine 2024041698 (Missouri)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Active Life Health Of Columbia Llc35779730645

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nicole Yvonne Edwards allows following entities to bill medicare on her behalf.
Entity NameAugustine Health Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821051392
PECOS PAC ID: 8628973443
Enrollment ID: O20031204000917
Entity NameDoctors Care, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366499048
PECOS PAC ID: 6204731300
Enrollment ID: O20040112000069
Entity NameActive Life Health Of Columbia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104425529
PECOS PAC ID: 3577973064
Enrollment ID: O20201112001583

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicole Yvonne Edwards is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nicole Yvonne Edwards, DO
7001 Saint Andrews Rd Ste 428,
Columbia, SC 29212-1137

Ph: (803) 543-2913		Dr Nicole Yvonne Edwards, DO
1313 Saint Andrews Rd Ste 3,
Columbia, SC 29210

Ph: (803) 543-2913

Reviews and Comments


Family Medicine Doctors in Columbia, SC

Pamela I Brown, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7033 Saint Andrews Rd Ste 101, Columbia, SC 29212
Phone: 803-749-1155    Fax: 803-749-1786
Dr. Elmer Gordon Long, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1818 Henderson St, Columbia, SC 29201
Phone: 803-758-2600    Fax: 803-253-8896
Dr. Charles Joseph Carter Jr., M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3209 Colonial Dr, Columbia, SC 29203
Phone: 803-434-6113    Fax: 803-434-7231
April Tamara Singleton Clarke, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2012 Harden St Ste 112, Columbia, SC 29204
Phone: 803-434-6116    Fax: 803-434-8545
Dr. Hance H Oliver, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Forest Dr Ste 300, Columbia, SC 29204
Phone: 803-749-5101    Fax: 803-933-3045
Justin Andrew Mullner, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3209 Colonial Drive, Family Medicine Department, Columbia, SC 29203
Phone: 803-434-6116    Fax: 803-434-8545
Kristian Jorgensen, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3209 Colonial Dr, Columbia, SC 29203
Phone: 803-434-7399    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.