Lindsay Michelle Edwards, OT
Individual provider Active NPI Occupational Therapist · Bloomingdale, GA
NPI 1245033620 · NPPES record last updated Mar 31, 2025
Key facts
- NPI
- 1245033620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT009461 (GA)
- Practice address
- 106 E US Highway 80 Ste G
Bloomingdale, GA 31302-8914 - Phone
- (912) 420-4910
- Fax
- (912) 600-1994
- NPI assigned
- Mar 31, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Baylor College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Savannah Pelvic Health and Wellness LLC
Coastal Voice and Dysphagia Diagnostics, LLC
Practice addresses (Care Compare)
106 E US Hwy 80
Suite G
Bloomingdale, GA 31302-8914
Phone (912) 503-0516
24 S Zetterower Ave
Statesboro, GA 30458-4866
Phone (912) 687-1026
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250519000064 | GA | Practitioner - Occupational Therapist in Private Practice | 0941728554 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT009461 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Voice & Dysphagia Diagnostics, LLC | Current |
Accepting new patients | |
| Savannah Pelvic Health and Wellness, LLC. | Current |
Accepting new patients |
Locations
106 E US Highway 80
Ste G
Bloomingdale, GA 31302
Phone (912) 420-4910
408 US Highway 80 SW
Pooler, GA 31322
Phone (912) 503-0516
24 S Zetterower Ave
Statesboro, GA 30458
Phone (912) 299-2394
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT009461 | GA | Yes |
Addresses
Primary practice location
106 E US Highway 80 Ste G
Bloomingdale, GA 31302-8914
Mailing address
106 E US Highway 80 Ste G
Bloomingdale, GA 31302-8914
Phone (912) 420-4910
Other providers in Bloomingdale, GA
- Mollie Browne
- Amanda Elizabeth Cassat
- Anna Lucia Cava
- Curtis V. Cooper Primary Health Care, Inc.
- Melissa Doss
- Jennifer A Enslow
- Madison Evans
- Sara Claire Fennell
- Austin Fulcher
- Sarabeth Doris Gaskin
All providers in Bloomingdale, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.