Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edgewater Medical Center and Urgent

Organization Internal Medicine Physician · NPI 1205865979

Edgewater Medical Center and Urgent is an Internal Medicine Physician in Lillington, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

100 S 10th St
Lillington, NC 27546-6690
Phone: (910) 893-4111
Fax: (910) 893-9850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1205865979
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEdgewater Medical Center and Urgent
Authorized official Rodolfo Reyes — Owner/Manager · (910) 893-4111
Other names Edgewater Medical Center And Urgent Care; Edgewater Medical Center And Urgent Care
NPI enumeratedJuly 3, 2006
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023
Mailing address100 S 10th Street, Lillington, NC 27546-6690

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