NPIMap

Individual provider Active NPI

Alan W Edwards, MD

  • Internal Medicine Physician
  • Franklin, VA
National Provider Identifier
1114038205
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101026338 Issued in VA
Practice address
100 Fairview Dr
Suite 101 Southampton Medical BLDG
Franklin, VA 23851
Phone
(757) 562-4196
Fax
(757) 562-0065
NPI assigned
Aug 31, 2006
Last updated
Jun 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101026338 VA Primary

Addresses

Primary practice location

100 Fairview Dr
Suite 101 Southampton Medical BLDG
Franklin, VA 23851

Mailing address

PO Box 755
Franklin, VA 23851
Phone (757) 562-4196

Other identifiers 2

IdentifierTypeStateIssuer
003055OtherBCBS
6070051MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090602000180 VA Practitioner - Internal Medicine 8527118116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

118 Fairview Dr
Suite 101
Franklin, VA 23851-1250
Phone (757) 562-4196

1401 N High St
Franklin, VA 23851-1244
Phone (757) 516-8130

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101026338VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince May 21, 2020 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince May 21, 2020 Accepting new patients
Alan W Edwards, M.D., P.C. Internal Medicine CurrentSince Jan 1, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

100 Fairview Dr
Ste 101
Franklin, VA 23851
Phone (757) 562-4196

118 Fairview Dr
Ste 101
Franklin, VA 23851
Phone (757) 562-4196

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

Interoperability endpoints

  • Direct secure messaging: aedwards@awem.gwaydirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1114038205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 755",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "23851",
            "telephone_number": "757-562-4196",
            "fax_number": "757-562-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FAIRVIEW DR",
            "address_2": "SUITE 101 SOUTHAMPTON MEDICAL BLDG",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "23851",
            "telephone_number": "757-562-4196",
            "fax_number": "757-562-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ALAN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101026338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "003055",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6070051",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, VA

Sources for this page

Verify at the official NPI Registry.