Andrea Marie Edwards, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110003405 Issued in VA

Practice address

1051 Loftis Blvd
Suite 100
Newport News, VA 23606-3069

Phone

(757) 873-9400

Fax

(757) 873-9420

NPI assigned

Sep 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Oncology AssociatesGroup PAC ID 2769395797, 100 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.edwards@voa.ikm.direct-ci.com

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.

• Virginia Oncology Associates

  • Hematology & Oncology Physician
  • Norfolk, VA
  • NPI 1417929639

  NC

  Medicare reassignment NPD
• Virginia Oncology Associates

  • Community/Retail Pharmacy
  • Suffolk, VA
  • NPI 1932906815
  Care Compare group NPD

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1033427588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 LAKE WRIGHT DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021871",
            "telephone_number": "757-466-8683",
            "fax_number": "757-466-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 LOFTIS BLVD",
            "address_2": "SUITE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063069",
            "telephone_number": "757-873-9400",
            "fax_number": "757-873-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033427588",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Louise Echols, RBT
• Eckerd Corporation
• Jenell Eddins, PA
• Eden Home Inc
• Bethany Nicole Craft Edge, RDN
• Avis Edwards
• James Travers Edwards Jr., M.D.
• Jonathan Edwards, M.D.
• Nikia K Edwards, LPC, CSAC, NCC
• Richard Ralph Edwards, MD

• Medical Physician Assistant in Newport News, VA
• Providers in Newport News, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.