Jeffrey A Edwards, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101058 Issued in FL

Practice address

1036 Dunn Ave
Suite 10
Jacksonville, FL 32218-6359

Phone

(904) 757-5656

Fax

(904) 757-5650

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

No

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.

• Bethesda/Solantic Joint Venture, LLC

  • Urgent Care Clinic/Center
  • Boynton Beach, FL
  • NPI 1730329038
  NPD (past)
• Tenet-Solantic Joint Venture LLC

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1104159755
  NPD (past)
• University of Florida Jacksonville Physicians Inc

  • Emergency Medicine Physician
  • Jacksonville, FL
  • NPI 1265693279
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 4, 2008.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1215053665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 DUNN AVE",
            "address_2": "SUITE 10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186359",
            "telephone_number": "904-757-5656",
            "fax_number": "904-757-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 DUNN AVE",
            "address_2": "SUITE 10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186359",
            "telephone_number": "904-757-5656",
            "fax_number": "904-757-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Nicole Edwards, ARNP
• James Richard Edwards, RN
• Jamie Ryan Edwards, DO
• Janette E. Edwards, L.C.S.W.
• Jefferson R. Edwards III, M.D.
• Kathleen Edwards
• Kristen Edwards, SLP
• Linda Robertson Edwards, M.D.
• Luann M Edwards, LCSW
• Melissa Seeley Edwards, PA-C

• All providers in Jacksonville, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.