Individual provider Active NPI

Monica Phillips Edenfield, NP

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1194051664
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP184707 Issued in GA
Practice address
1350 Walton Way
Augusta, GA 30901-2612
Phone
(706) 774-2112
NPI assigned
Oct 19, 2009
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP184707 GA Primary

Addresses

Primary practice location

1350 Walton Way
Augusta, GA 30901-2612

Mailing address

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-2112

Other names 1

  • Miss Monica Rae Phillips Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100514000780 GA Practitioner - Nurse Practitioner 2163550401 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champions Clinical Services LLCGroup PAC ID 6305368788, 7 clinicians

Practice addresses (Care Compare)

3618 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone (706) 860-7572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP184707GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Champions Clinical Services, LLC CurrentSince Feb 1, 2026 Accepting new patients
Georgia Em-I Medical Services, LLC CurrentSince Nov 27, 2017 Accepting new patients
Physicians United Urgent Care CurrentSince Apr 15, 2023 Accepting new patients
Georgia Em-I Medical Services PC CurrentSince Nov 27, 2017 Accepting new patients
Georgia Em-I Medical Services. LLC Current Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Jul 31, 2019 Accepting new patients
Illumia Health, LLC CurrentSince May 12, 2025 Accepting new patients
Illumia Health LLC CurrentSince May 12, 2025 Accepting new patients

Locations

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

1537 Walton Way
Augusta, GA 30904
Phone (706) 721-1200

253 Robert C Daniel Jr Pkwy
Ste 1
Augusta, GA 30909
Phone (336) 254-1380

3508 Professional Cir
Ste A
Augusta, GA 30907
Phone (706) 210-5900

3508 Professional Cir
Ste A1
Augusta, GA 30907
Phone (706) 993-4108

3618 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 520-7442

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

10901 Stonelake Blvd
Ste 200
Austin, TX 78759
Phone (512) 767-6149

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1194051664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012612",
            "telephone_number": "706-774-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012612",
            "telephone_number": "706-774-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENFIELD",
        "first_name": "MONICA",
        "middle_name": "PHILLIPS",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP184707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "PHILLIPS",
            "middle_name": "RAE",
            "prefix": "MISS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.