Individual provider Active NPI

Javon Miguel Edgecombe, MD

  • Neurology Physician
  • Roanoke, VA
National Provider Identifier
1255622015
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101268956 Issued in VA
Practice address
3 Riverside Cir
Roanoke, VA 24016-4955
Phone
(540) 224-5170
Fax
(540) 985-9427
NPI assigned
Apr 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 2016-01188 NC
Neurology Physician 2084N0400X 0101268956 VA Primary

Addresses

Primary practice location

3 Riverside Cir
Roanoke, VA 24016-4955

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5352

Other practice location 1

1918 Randolph Rd
Suite 400
Charlotte, NC 28207-1100
Phone (704) 384-9437

Other practice location 2

301 Riverview Ave Ste 202A
Norfolk, VA 23510-1065
Phone (757) 252-9015

Other practice location 3

1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-9350

Other names 1

  • Javon M Edgecombe Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jedgecombe322905@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DC, MD, VA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160830001100 NC Practitioner - Neurology 2961635115 Reassigns benefits to 2 organizations
I20200113001763 DC Practitioner - Neurology 2961635115 Reassigns benefits to 1 organization
I20200212000207 MD Practitioner - Neurology 2961635115 Reassigns benefits to 1 organization
I20230609002887 VA Practitioner - Neurology 2961635115 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Pennsylvania State University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

12200 Warwick Blvd
Suite 110
Newport News, VA 23601-2344
Phone (757) 534-5100

1250 E Marshall St
Richmond, VA 23219-5051
Phone (804) 828-9000

1910 Jake Alexander Blvd W
Suite 102
Salisbury, NC 28147-1179
Phone (704) 637-1179

1918 Randolph Rd
Suite 400
Charlotte, NC 28207-1196
Phone (704) 384-9437

3 Riverside Cir
Roanoke, VA 24016-4955
Phone (540) 224-5170

301 Riverview Ave
Suite 202a
Norfolk, VA 23510-1065
Phone (757) 252-9140

Hospital & facility affiliations

  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016-01188NCMDNeurology Physician
0101268956VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MGMC, LLC Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Jan 1, 2020 Accepting new patients
Carilion Medical Center CurrentSince Aug 13, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 3, 2018 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jan 1, 2020 Accepting new patients
Novant Health Medical Group, LLC Neurology CurrentSince Feb 3, 2018 Accepting new patients
Carilion Medical Center CurrentSince Aug 13, 2023 Accepting new patients
MCV Associated Physicians Neurology CurrentSince Dec 16, 2024 Accepting new patients
Sentara Medical Group Neurology CurrentSince Dec 1, 2024 Accepting new patients
Riverside Physician Services Inc CurrentSince May 22, 2023 Accepting new patients
Riverside Physician Services, Inc. Neurology CurrentSince May 22, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Novant Health Medical Group, LLC Neurology CurrentSince Aug 1, 2022 Accepting new patients
MGMC LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380

1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437

8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

3330 Siskey Pkwy
Matthews, NC 28105
Phone (704) 316-2127

1910 Jake Alexander Blvd W
Ste 102
Salisbury, NC 28147
Phone (704) 637-1179

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

190 Kimel Park Dr
Ste 120
Winston Salem, NC 27103
Phone (336) 277-2200

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

12200 Warwick Blvd
Ste 110
Newport News, VA 23601
Phone (757) 534-5100

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

301 Riverview Ave
Ste 202A
Norfolk, VA 23510
Phone (757) 252-9015

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

3 Riverside Cir
Roanoke, VA 24016

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

Interoperability endpoints

  • Direct secure messaging: jedgecombe322905@direct.novanthealth.org
  • Direct secure messaging: javon.edgecombe.1@5072.direct.athenahealth.com
  • Direct secure messaging: jedgecombe2862541@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 16

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.

View all 16

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": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1255622015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RIVERSIDE CIR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164955",
            "telephone_number": "540-224-5170",
            "fax_number": "540-985-9427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1918 Randolph Rd",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071100",
            "country_code": "US",
            "telephone_number": "704-384-9437",
            "fax_number": "704-384-9440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Riverview Ave Ste 202A",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235101065",
            "country_code": "US",
            "telephone_number": "757-252-9015",
            "fax_number": "757-510-9041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-828-9350",
            "fax_number": "804-807-7949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDGECOMBE",
        "first_name": "JAVON",
        "middle_name": "MIGUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2016-01188",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101268956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jedgecombe322905@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1918 Randolph Rd",
            "address_2": "Suite 400",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282071100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAVON",
            "last_name": "EDGECOMBE",
            "middle_name": "M",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.