Jessica Edmonds

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P19354 Issued in NC

Practice address

511 Smoky Park Hwy # 5
Candler, NC 28715-8613

Phone

(828) 633-6287

Fax

(828) 633-6288

NPI assigned

Apr 6, 2021

Last updated

Apr 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Physical Therapy, LLCGroup PAC ID 0840583407, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeastern Physical Therapy, LLC

  • Physical Therapist
  • Asheville, NC
  • NPI 1699791129
  Medicare reassignment Care Compare group NPD
• Henderson County Hospital Corporation

  dba Pardee Rx-Fleming

  • Community/Retail Pharmacy
  • Hendersonville, NC
  • NPI 1013694165
  NPD (past)

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1285213371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 AMETHYST CIR",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287041136",
            "telephone_number": "828-691-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SMOKY PARK HWY # 5",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287158613",
            "telephone_number": "828-633-6287",
            "fax_number": "828-633-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Cameron & Associates of Candler, PLLC
• Laura E Dressel, MD
• Austin Moore Dykes
• Eckerd Corporation (Rite Aid Pharmacy 11556)
• George Henry Edmonds, BS, QP
• G Martin Edwards, C.PED
• Dorothy Elias
• Kathleen Ann Emory, OTA/L
• Emily Epley, AU.D
• Kimberly Lynn Evans

• Physical Therapist in Candler, NC
• Providers in Candler, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.