Individual provider Active NPI

Grace Elizabeth Edwards, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1265157085
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15137 Issued in TX
Practice address
6750 E Sam Houston Pkwy N Ste 100
Houston, TX 77049-2255
Phone
(281) 452-2299
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA15137 TX
Physician Assistant 363A00000X PA15137 TX Primary
Medical Physician Assistant 363AM0700X PA15137 TX

Addresses

Primary practice location

6750 E Sam Houston Pkwy N Ste 100
Houston, TX 77049-2255

Mailing address

6445 Main St Ste 2500
Houston, TX 77030-1502
Phone (713) 441-8393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231003002779 TX Practitioner - Physician Assistant 4880048206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

6445 Main St
Houston, TX 77030-1502

6445 Main St Opc
Houston, TX 77030-1502

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15137TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Aug 13, 2023 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 13, 2023 Accepting new patients
Houston Methodist Specialty Physicians CurrentSince Sep 2, 2025 Accepting new patients
Family Medicine MMC PA CurrentSince Oct 9, 2022 Accepting new patients
Houston Methodist Past Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

6445 Main St
Ste 2500
Houston, TX 77030
Phone (713) 441-3150

6750 E Sam Houston Pkwy N
Ste 100
Houston, TX 77049
Phone (281) 452-2299

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • Direct secure messaging: gedwards458695@directhoustonmethodist.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1265157085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 MAIN ST STE 2500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301502",
            "telephone_number": "713-441-8393",
            "fax_number": "713-790-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 E SAM HOUSTON PKWY N STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492255",
            "telephone_number": "281-452-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "GRACE",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA15137",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15137",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA15137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.