Individual provider Active NPI

Robert Stephen Edmonds, PA-C

  • Physician Assistant
  • Powell, TN
National Provider Identifier
1467834838
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13571 Issued in GA
Practice address
7540 Lancashire Blvd
Powell, TN 37849-3784
Phone
(865) 257-3380
NPI assigned
Jun 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13571 GA Primary

Addresses

Primary practice location

7540 Lancashire Blvd
Powell, TN 37849-3784

Mailing address

2380 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89052-5078
Phone (702) 823-4255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, FL, GA, SC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20151015001281 NV Practitioner - Physician Assistant 7517276413 Reassigns benefits to 1 organization
I20241007002295 FL Practitioner - Physician Assistant 7517276413 Reassigns benefits to 4 organizations
I20251231003743 GA Practitioner - Physician Assistant 7517276413 Reassigns benefits to 2 organizations
I20260410000105 SC Practitioner - Physician Assistant 7517276413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Zephyrhills PAGroup PAC ID 6204924921, 51 clinicians
Inphynet Contracting Services LLCGroup PAC ID 7416865811, 169 clinicians
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians

Practice addresses (Care Compare)

1 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 844-7000

1301 W Kennedy Blvd
Kennedy Freestanding Emergency Dept
Tampa, FL 33606-1848
Phone (813) 844-7551

17240 Cortez Blvd
Brooksville, FL 34601-8921
Phone (352) 576-5200

222 S Herlong Ave
Rock Hill, SC 29732-1158
Phone (803) 329-1234

464 N Belair Rd
Evans, GA 30809-3099
Phone (706) 220-9500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13571GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Emergency Services LLC Physician Assistant CurrentSince Dec 1, 2025 Accepting new patients
Emergency Coverage, LLC CurrentSince Nov 1, 2025 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Sep 13, 2024 Accepting new patients
Acs Primary Care Physicians - Southeast PC Physician Assistant CurrentSince Nov 1, 2025 Accepting new patients
Emergency Services of Zephyrhills PA Physician Assistant CurrentSince Sep 27, 2025 Accepting new patients
Inphynet Contracting Services LLC Physician Assistant CurrentSince Oct 30, 2025 Accepting new patients

Locations

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

1301 W Kennedy Blvd
Tampa, FL 33606
Phone (813) 660-7200

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

464 N Belair Rd
Evans, GA 30809
Phone (706) 220-9500

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

Organizations & group practices 7

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1467834838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 W HORIZON RIDGE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525078",
            "telephone_number": "702-823-4255",
            "fax_number": "702-475-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 LANCASHIRE BLVD",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493784",
            "telephone_number": "865-257-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "ROBERT",
        "middle_name": "STEPHEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "13571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

Verify at the official NPI Registry.