Active NPI
Samantha Kathleen Edwards, MD
- Family Medicine Physician
- Davis, CA
National Provider Identifier
1205360757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 183727
- Practice address
- 1 Shields Ave
Davis, CA 95616-5270 - Phone
- (530) 752-2349
- Fax
- (530) 754-5842
- NPI assigned
- Apr 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 183727 | CA | Primary |
Addresses
Primary practice location
1 Shields Ave
Davis, CA 95616-5270
Mailing address
1 Shields Ave
Davis, CA 95616-5270
Phone (530) 752-2349
Other practice location 1
7601 Hospital Dr Ste 103
Sacramento, CA 95823
Phone (916) 681-1600
Other practice location 2
7601 Hospital Dr Ste 103
Sacramento, CA 95823
Phone (916) 681-1600
Other practice location 3
500 S Preston St
Room 305
Louisville, KY 40202-1702
Phone (502) 852-8696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Louisville School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9815 Brownsboro Rd
Louisville, KY 40241-1125
Phone (502) 426-4264
Hospital & facility affiliations
- Baptist Health Louisville
- Baptist Health Lagrange
- Norton Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183727 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
9815 Brownsboro Rd
Louisville, KY 40241
Phone (502) 426-4264
1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- La Grange, KY
- NPI 1306925540
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1205360757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SHIELDS AVE",
"city": "DAVIS",
"state": "CA",
"postal_code": "956165270",
"telephone_number": "530-752-2349",
"fax_number": "530-754-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHIELDS AVE",
"city": "DAVIS",
"state": "CA",
"postal_code": "956165270",
"telephone_number": "530-752-2349",
"fax_number": "530-754-5842"
}
],
"practiceLocations": [
{
"address_1": "7601 Hospital Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "95823",
"country_code": "US",
"telephone_number": "916-681-1600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7601 Hospital Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "95823",
"country_code": "US",
"telephone_number": "916-681-1600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 S Preston St",
"address_2": "Room 305",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021702",
"country_code": "US",
"telephone_number": "502-852-8696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "SAMANTHA",
"middle_name": "KATHLEEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-11",
"last_updated": "2023-08-23",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "183727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.