MR. EDWARD CLARK BURNSIDE PA-C
NPI 1639492952
Physician Assistant - Medical in Mt Pleasant, SC
NPI Status: Active since March 02, 2010
Contact Information
1028 EWALL ST
MT PLEASANT, SC
ZIP 29464
Phone: (843) 573-0499
Fax: (843) 388-6292
- Individual
- Male
- Physician Assistant
- Medical
- PECOS Enrolled
About EDWARD BURNSIDE
This page provides the complete NPI Profile along with additional information for Edward Burnside, a primary care provider established in Mt Pleasant, South Carolina with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1639492952 assigned on March 2010. The practitioner's primary taxonomy code is 363AM0700X with license number TL 1511 (SC). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1639492952
- Provider Name
- MR. EDWARD CLARK BURNSIDE PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1028 EWALL ST MT PLEASANT, SC 29464
- Location Phone
- (843) 573-0499
- Location Fax
- (843) 388-6292
- Mailing Address
- PO BOX 81113 ASHLEY RIVER STATION CHARLESTON, SC 29416
- Mailing Phone
- (843) 573-0499
- Mailing Fax
- (843) 388-6292
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-02-2010
- Last Update Date
- 03-02-2010
- Code Navigator
A primary care provider (PCP) like Edward Burnside sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- TL 1511
- License State
- SC
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| TL 1511 | OTHER (01) | SC | SC STATE TEMP LICENSE |
Medicare Participation & PECOS Enrollment Status
Edward Burnside is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 4 | 9 | 2 | 9 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 8 | 9 | 4 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 8 + 9 + 4 + 9 + 1 + 0 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1639492952 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1457402182 | CAROLINA KIDNEY & HYPERTENSION Organization | Internal Medicine (Nephrology) | 1028 EWALL ST MT PLEASANT, SC 29464 (843) 573-0499 |
| 1285677963 | NRA-MT. PLEASANT, SOUTH CAROLINA, LLC Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1028 EWALL ST MOUNT PLEASANT, SC 29464 (843) 884-3115 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639492952, enumerated in the NPI registry as an "individual" on March 02, 2010
The provider is located at 1028 Ewall St Mt Pleasant, Sc 29464 and the phone number is (843) 573-0499
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 02, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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