Individual provider Active NPI

Pamala J Edwards, PA

  • Medical Physician Assistant
  • Alice, TX
National Provider Identifier
1063590305
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA02621 Issued in TX
Practice address
700 Flournoy Rd
Suite 2a
Alice, TX 78332-4003
Phone
(361) 664-1417
Fax
(361) 664-3218
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA02621 TX Primary

Addresses

Primary practice location

700 Flournoy Rd
Suite 2a
Alice, TX 78332-4003

Mailing address

204 E 1St St
Alice, TX 78332-4822
Phone (361) 664-0145

Other practice location 1

1302 S St Marys St
Falfurrias, TX 78355-5034
Phone (361) 325-9404

Other practice location 2

115 W Main St
Benavides, TX 78341
Phone (361) 256-3663

Other practice location 3

1133 E Sinton St
Sinton, TX 78387-2928
Phone (361) 364-4486

Other practice location 4

621 E Sinton St
Sinton, TX 78387-2801
Phone (361) 364-4486

Other practice location 5

213 S DuVal St
Mathis, TX 78368-2613
Phone (361) 547-4121

Other practice location 6

139 N Main St
Sarita, TX 78385
Phone (361) 666-5632

Other practice location 7

1210 N Retama St
Kingsville, TX 78363-3496
Phone (361) 239-0600

Other practice location 8

621 E Sinton St
Sinton, TX 78387-2801
Phone (361) 364-4486

Other practice location 9

1311 General Cavazos Blvd Ste 303C
Kingsville, TX 78363-7123
Phone (361) 592-3237

Other practice location 10

301 S Hillside Dr # 5615
Beeville, TX 78102-5307
Phone (361) 362-0307

Other practice location 11

502 E San Patricio
Mathis, TX 78368
Phone (361) 547-4121

Other identifiers 3

IdentifierTypeStateIssuer
063476801MedicaidTX
312414101MedicaidTX
8J3360OtherTXMEDICARE PARTB FOR COMMUNITY ACTION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070501000426 TX Practitioner - Physician Assistant 3678679057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

115 W Main St
Benavides, TX 78341-1004
Phone (361) 256-3663

213 S Duval St
Mathis, TX 78368-2613
Phone (361) 547-4121

621 E Sinton St
Sinton, TX 78387-2801
Phone (361) 364-4486

700 Flournoy Rd
Suite 2a
Alice, TX 78332-4088
Phone (361) 664-1417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Corporation of South Texas CurrentSince Nov 27, 2006 Accepting new patients
Community Action Corporation of South Texas CurrentSince Nov 27, 2006 Accepting new patients
South Texas Psychiatric Associates, P.a. Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Community Action Corporation of South Texas Past Accepting new patients
Community Action Corporation of South Texas Past Accepting new patients
Community Action Corporation of South Texas Past Accepting new patients

Locations

614 W Front St
Alice, TX 78332
Phone (361) 664-9587

204 E 1st St
Alice, TX 78332
Phone (361) 664-0145

700 Flournoy Rd
Ste 2A
Alice, TX 78332
Phone (361) 664-1417

301 S Hillside Dr
#5615
Beeville, TX 78102
Phone (361) 362-0307

1302 S St Marys St
Falfurrias, TX 78355
Phone (361) 325-9404

101 W Potts St
Falfurrias, TX 78355
Phone (361) 325-3673

1311 E General Cavazos Blvd
Ste 303C
Kingsville, TX 78363
Phone (361) 592-3237

621 E Sinton St
Sinton, TX 78387
Phone (361) 364-4486

Interoperability endpoints

  • Direct secure messaging: pamala.edwards@cacost.eclinicaldirectplus.com

Organizations & group practices 7

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1063590305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 1ST ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324822",
            "telephone_number": "361-664-0145",
            "fax_number": "361-664-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FLOURNOY RD",
            "address_2": "SUITE 2A",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324003",
            "telephone_number": "361-664-1417",
            "fax_number": "361-664-3218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 S St Marys St",
            "address_purpose": "LOCATION",
            "city": "Falfurrias",
            "state": "TX",
            "postal_code": "783555034",
            "country_code": "US",
            "telephone_number": "361-325-9404",
            "fax_number": "361-221-1728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 W Main St",
            "address_purpose": "LOCATION",
            "city": "Benavides",
            "state": "TX",
            "postal_code": "78341",
            "country_code": "US",
            "telephone_number": "361-256-3663",
            "fax_number": "361-221-1889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1133 E Sinton St",
            "address_purpose": "LOCATION",
            "city": "Sinton",
            "state": "TX",
            "postal_code": "783872928",
            "country_code": "US",
            "telephone_number": "361-364-4486",
            "fax_number": "888-498-4259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 E Sinton St",
            "address_purpose": "LOCATION",
            "city": "Sinton",
            "state": "TX",
            "postal_code": "783872801",
            "country_code": "US",
            "telephone_number": "361-364-4486",
            "fax_number": "361-364-7385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 S DuVal St",
            "address_purpose": "LOCATION",
            "city": "Mathis",
            "state": "TX",
            "postal_code": "783682613",
            "country_code": "US",
            "telephone_number": "361-547-4121",
            "fax_number": "361-384-4254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 N MAIN ST",
            "address_purpose": "LOCATION",
            "city": "SARITA",
            "state": "TX",
            "postal_code": "78385",
            "country_code": "US",
            "telephone_number": "361-666-5632",
            "fax_number": "361-221-1728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 N Retama St",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "TX",
            "postal_code": "783633496",
            "country_code": "US",
            "telephone_number": "361-239-0600",
            "fax_number": "877-550-1895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 E Sinton St",
            "address_purpose": "LOCATION",
            "city": "Sinton",
            "state": "TX",
            "postal_code": "783872801",
            "country_code": "US",
            "telephone_number": "361-364-4486",
            "fax_number": "361-364-7385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 General Cavazos Blvd Ste 303C",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "TX",
            "postal_code": "783637123",
            "country_code": "US",
            "telephone_number": "361-592-3237",
            "fax_number": "361-221-1856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S Hillside Dr # 5615",
            "address_purpose": "LOCATION",
            "city": "Beeville",
            "state": "TX",
            "postal_code": "781025307",
            "country_code": "US",
            "telephone_number": "361-362-0307",
            "fax_number": "361-492-5521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 E San Patricio",
            "address_purpose": "LOCATION",
            "city": "Mathis",
            "state": "TX",
            "postal_code": "78368",
            "country_code": "US",
            "telephone_number": "361-547-4121",
            "fax_number": "361-384-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "PAMALA",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063476801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312414101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PARTB FOR COMMUNITY ACTION",
            "identifier": "8J3360",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

Verify at the official NPI Registry.