Edwards DFW

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

EDWARDS DFW

Doing business as

Edwards Medical Group DFW

Practice address

5637 N Tarrant Pkwy Ste B
Fort Worth, TX 76244-7321

Phone

(855) 934-1178

NPI assigned

Nov 22, 2023

Last updated

Apr 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ashley Blair Elder, PHD

Title

Revenue Cycle Admin

Phone

(737) 247-1223

Specialties & licenses 2

Addresses

Other names 1

• Edwards Medical Group DFW Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dykstra Freeman, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Worth, TX
  • NPI 1578042727
  Medicare reassignment NPD
• Olasunkanmi Ayodele Iranloye, NP

  • Family Nurse Practitioner
  • Arlington, TX
  • NPI 1093222739
  Medicare reassignment
• Manish Nair, M.D.

  • Psychiatry Physician
  • Temple, TX
  • NPI 1851531982
  Medicare reassignment
• Carmen Loren Pemberton, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Grapevine, TX
  • NPI 1407140916
  Medicare reassignment

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1275308991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 CORDILLERA WAY",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816326290",
            "telephone_number": "737-247-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5637 N TARRANT PKWY STE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762447321",
            "telephone_number": "855-934-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS DFW",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "REVENUE CYCLE ADMIN",
        "authorized_official_telephone_number": "737-247-1223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwards Medical Group DFW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edwards Medical Group DFW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Educare Community Living Limited Partnership
• Educare Therapy, LLC
• Edward E Icaza MD PA (Benbrook Neurology)
• Edward L. Kramer, D.O., P.a.
• Edward N. Reiter, D.D.S., Inc.
• Edwards Ranch Dental Group, PLLC
• Abena Dansoa Edwards, FNP-C
• Carl Edwards
• Christopher Wayne Edwards, DDS
• Cortney Edwards, LPC

• Psychiatry Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.