Richard Earl Edwards III, M.D.
Individual provider Active NPI Family Medicine Physician · Jennings, LA
NPI 1003059403 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1003059403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD.203926 (LA)
- Practice address
- 1322 Elton Rd
Suite P
Jennings, LA 70546-4100 - Phone
- (337) 824-2282
- Fax
- (337) 824-0058
- NPI assigned
- Apr 14, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 13
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Edwards Family Medicine a Professional Medical Corporation
Practice addresses (Care Compare)
1322 Elton Rd
Suite P
Jennings, LA 70546-4100
Phone (337) 824-2282
Hospital & facility affiliations
- Jeff Davis MD Homecare
- Centerwell Home Health
- Lamm Family Care Home Health
- Lamm Family Care Hospice
- Ochsner American Legion Hospital
- Lake Charles Memorial Hospital
- Acadia General Hospital
- Ochsner Lafayette General Medical Center
- Camelot Brookside
- Jeff Davis Living Center, LLC
- Golden Age of Welsh, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 45 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Rehabilitation Hospital of Jennings |
Hospital | General Partnership Interest (4.8%) | Jan 1, 2015 |
| Edwards Family Medicine a Professional Medical Corporation |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) W-2 Managing Employee |
Aug 1, 2012 Aug 1, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120926000596 | LA | Practitioner - Family Practice | 0042469520 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edwards Family Medicine a Professional Medical Corporation | Family Medicine | Current |
Accepting new patients |
| Edwards Family Medicine a Professional Medical Corporation | Family Medicine | Current | Accepting new patients |
| Jeff Davis Living Center, LLC | Past | Accepting new patients | |
| PMG Opco-Jennings LLC | Past | Accepting new patients | |
| Segura Family Medicine | Family Medicine | Past |
Accepting new patients |
| Ochsner American Legion Hospital LLC | Past | Accepting new patients |
Locations
1322 Elton Rd
Ste P
Jennings, LA 70546
Phone (337) 494-3278
1636 Elton Rd
Ste 204
Jennings, LA 70546
Phone (337) 654-0871
Interoperability endpoints
- https://fhir.healthtogo.me/fhir/r4/imed.efm
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD.203926 | LA | Yes |
Addresses
Primary practice location
1322 Elton Rd
Suite P
Jennings, LA 70546-4100
Mailing address
1322 Elton Rd
Suite P
Jennings, LA 70546-4100
Phone (337) 824-2282
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1988529 | Medicaid | LA |
NPI Registry JSON
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1003059403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 ELTON RD",
"address_2": "SUITE P",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705464100",
"telephone_number": "337-824-2282",
"fax_number": "337-824-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 ELTON RD",
"address_2": "SUITE P",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705464100",
"telephone_number": "337-824-2282",
"fax_number": "337-824-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "RICHARD",
"middle_name": "EARL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-14",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "MD.203926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1988529",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jennings, LA
- Dungarvin Louisiana, LLC
- Jean Renee' Duplichan
- Dustin Joubert DDS Inc
- Edwards Family Medicine a Professional Medical Corporation
- Edwards Family Medicine a Professional Medical Corporation
- Ryan John Edwards
- Evergreen Presbyterian Ministries, Inc.
- Monica Ewansik
- F. Michael Hindelang, III, MD, Apmc
- Family Drug Store of Jennings Inc
All providers in Jennings, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.