NPIMap

Individual provider Active NPI

Thomas Lloyd Edwards, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • San Antonio, FL
National Provider Identifier
1205879459
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
OS6349 Issued in FL
Practice address
12844 Joe Harig Rd
San Antonio, FL 33576-0537
Phone
(352) 206-4165
Fax
(888) 523-3008
NPI assigned
Jun 14, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS-0006349 FL
Geriatric Medicine (Family Medicine) Physician 207QG0300X OS6349 FL Primary

Addresses

Primary practice location

12844 Joe Harig Rd
San Antonio, FL 33576-0537

Mailing address

PO Box 537
San Antonio, FL 33576-0537
Phone (352) 206-4165

Other identifiers 3

IdentifierTypeStateIssuer
370860800MedicaidFL
56339OtherFLAOA NUMBER
OS-0006349OtherFLOSTEOPATHIC LICENSE

Other names 1

  • Dr. Thomas L. Edwards Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040331000941 FL Practitioner - Family PracticePractitioner - General Practice 6406755784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12844 Joe Harig Rd
San Antonio, FL 33576-0537
Phone (352) 588-2911

37135 Coleman Ave
Dade City, FL 33525-4526
Phone (352) 567-8615

38220 Henry Dr
Zephyrhills, FL 33542-7535
Phone (813) 788-7114

7350 Dairy Rd
Zephyrhills, FL 33540-1354
Phone (813) 788-4300

PO Box
Suite 537
San Antonio, FL 33576

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-0006349FLMDFamily Medicine Physician
OS6349FLMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas L Edwards DO Inc Geriatric Medicine CurrentSince Mar 1, 2008 Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients
Doctors at Home LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: tom@tledi-fl.direct.office.nextgen.com

Organizations & group practices 3

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1205879459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "SAN ANTONIO",
            "state": "FL",
            "postal_code": "335760537",
            "telephone_number": "352-206-4165",
            "fax_number": "888-523-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12844 JOE HARIG RD",
            "city": "SAN ANTONIO",
            "state": "FL",
            "postal_code": "335760537",
            "telephone_number": "352-206-4165",
            "fax_number": "888-523-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "THOMAS",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS-0006349",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "OS6349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370860800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AOA NUMBER",
            "identifier": "56339",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSTEOPATHIC LICENSE",
            "identifier": "OS-0006349",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "EDWARDS",
            "middle_name": "L.",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Antonio, FL

Sources for this page

Verify at the official NPI Registry.