Individual provider Active NPI

Preston Hill Edwards, MD

  • Family Medicine Physician
  • Hillsville, VA
National Provider Identifier
1033106976
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101026339 Issued in VA
Practice address
702 Pine St
Hillsville, VA 24343-1405
Phone
(276) 728-4311
Fax
(276) 728-0901
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101026339 VA Primary

Addresses

Primary practice location

702 Pine St
Hillsville, VA 24343-1405

Mailing address

PO Box 1337
Galax, VA 24333-1337
Phone (276) 236-3210

Other identifiers 1

IdentifierTypeStateIssuer
010108250MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101026339VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Family Physicians, Inc. Laboratory Past Accepting new patients
Physicians Treatment Center Inc Family Medicine PastSince Aug 1, 1993 Accepting new patients
Carroll Family Physicians Inc Family Medicine Past Accepting new patients
Hillsville Family Medicine, PLLC Family Medicine PastSince Jun 1, 2007 Accepting new patients
A G Jefferson Inc Past Accepting new patients
Twin County Family Care Centers Inc Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1033106976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1337",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243331337",
            "telephone_number": "276-236-3210",
            "fax_number": "276-236-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 PINE ST",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243431405",
            "telephone_number": "276-728-4311",
            "fax_number": "276-728-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "PRESTON",
        "middle_name": "HILL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101026339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010108250",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.