Pamela Ann Edwards

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R516619 Issued in MS

Practice address

5502 Marvin Shields Blvd
Gulfport, MS 39501

Phone

(228) 871-4033

NPI assigned

Jan 16, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1043361785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 MARVIN SHIELDS BLVD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395019007",
            "telephone_number": "228-871-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 MARVIN SHIELDS BLVD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39501",
            "telephone_number": "228-871-4033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5502 Marvin Shields Blvd",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "39501",
            "country_code": "US",
            "telephone_number": "228-871-4033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "VIMG",
            "address_2": "2550 INDIAN PARKWAY",
            "address_purpose": "LOCATION",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "39553",
            "country_code": "US",
            "telephone_number": "228-497-9713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R516619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC NATIONAL CERTIFICATION FNP",
            "identifier": "275365",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH00121281",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Brown Specialty Partners of Mississippi PLLC
• Edward Robert Cohen
• Edward S. Wheeler, DMD, PA
• Emery L Edwards, D.D.S.
• Lori Edwards
• Yolanda Antoinette Edwards, APRN, FNP-C
• Sheryl Egan-Olaivar, OT
• Ekhaya, LLC
• Elenbaas & Doty, PLLC
• Andrea Elenbaas, D.M.D.

• Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.