Individual provider Active NPI

Edith Henderson, MD

  • Obstetrics & Gynecology Physician
  • Virginia Beach, VA
National Provider Identifier
1265968747
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101285862 Issued in VA
Practice address
1181 First Colonial Rd Ste 200
Virginia Beach, VA 23454-2437
Phone
(757) 425-1600
NPI assigned
May 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 30565 WV
Obstetrics & Gynecology Physician 207V00000X 0101285862 VA Primary

Addresses

Primary practice location

1181 First Colonial Rd Ste 200
Virginia Beach, VA 23454-2437

Mailing address

1181 First Colonial Rd Ste 200
Virginia Beach, VA 23454-2437
Phone (757) 425-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220830004422 WV Practitioner - Obstetrics/Gynecology 6901280551
I20241012000233 PA Practitioner - Obstetrics/Gynecology 6901280551 Reassigns benefits to 1 organization
I20251019000125 VA Practitioner - Obstetrics/Gynecology 6901280551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Womens Care PLCGroup PAC ID 8820998156, 98 clinicians

Practice addresses (Care Compare)

1181 1St Colonial Rd
Suite 101
Virginia Beach, VA 23454-2437
Phone (757) 228-1600

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101285862VAMDObstetrics & Gynecology Physician
30565WVMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc CurrentSince Aug 1, 2024 Accepting new patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology CurrentSince Sep 17, 2025 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Aug 1, 2024 Accepting new patients
Temple University Hospital, Inc Past Accepting new patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology Past Accepting new patients

Locations

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

525 Jamestown St
Philadelphia, PA 19128
Phone (215) 482-7970

844 Kempsville Rd
Ste 210
Norfolk, VA 23502
Phone (757) 461-6131

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

1181 First Colonial Rd
Ste 200
Virginia Beach, VA 23454
Phone (757) 425-1600

1181 First Colonial Rd
Ste 101
Virginia Beach, VA 23454
Phone (757) 228-1600

1925 Glenn Mitchell Dr
Ste 200
Virginia Beach, VA 23456
Phone (757) 425-1600

Interoperability endpoints

  • Direct secure messaging: ehenderson121808@direct.wvuhsdirect.com

Organizations & group practices 6

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": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1265968747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 FIRST COLONIAL RD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542437",
            "telephone_number": "757-425-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 FIRST COLONIAL RD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542437",
            "telephone_number": "757-425-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "EDITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "30565",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101285862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.