Charles Lindsay Edwards, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G12322 Issued in CA

Practice address

13975 Mono Way Ste H
Sonora, CA 95370-2824

Phone

(209) 533-9606

NPI assigned

Oct 2, 2006

Last updated

Oct 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Loma Linda University School of Medicine, 1965

Medicare assignment

May accept Medicare assignment

Group practices

M a C T Health Board IncorporatedGroup PAC ID 8325936974, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: charles.edwards.p1@direct.macthealth.nextgenshare.com

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

• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • San Andreas, CA
  • NPI 1366519431

  TX

  Medicare reassignment Care Compare group
• M a C T Health Board Incorporated

  dba MACT Behavioral Health, Sonora

  • Federally Qualified Health Center (FQHC)
  • Sonora, CA
  • NPI 1154147445
  NPD (past)
• M a C T Health Board Incorporated

  dba MACT Behavioral Health, Valley Springs

  • Federally Qualified Health Center (FQHC)
  • Valley Springs, CA
  • NPI 1649091109
  NPD (past)
• M a C T Health Board, Incorporated

  dba MACT Health & Wellness, Sutter Creek

  • Federally Qualified Health Center (FQHC)
  • Sutter Creek, CA
  • NPI 1417741869
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1063505972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17860 WARDS FERRY RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708655",
            "telephone_number": "209-571-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 MONO WAY STE H",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953702824",
            "telephone_number": "209-533-9606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17860 Wards Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953708655",
            "country_code": "US",
            "telephone_number": "209-571-7646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CHARLES",
        "middle_name": "LINDSAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G12322",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G12322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Dunn, MFT
• Natalie Durnall, PT, DPT, PCS
• Peggy Joan Dutemple, LCSW
• Trever Foster East, M.P.T
• Rodney Eddi, M.D.
• Christine Ann Elder, PA-C
• Richard D. Emery, D.D.S.
• Sheila M Esson, PHARMD
• Joy Noel Evans, L.AC.
• Melanie Ann Evans, RD, CDE

• Psychiatry Physician in Sonora, CA
• Providers in Sonora, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.