Ginna Edwards, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-06500 Issued in NC

Practice address

1925 W Park Dr
North Wilkesboro, NC 28659-3564

Phone

(336) 903-0147

Fax

(336) 903-1687

NPI assigned

Jul 11, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: edwards.ginna.001.0330023@wpc.meditab.direct-ci.com
• Direct secure messaging: gedwards1152266@direct.novanthealth.org

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.

• Wilkes Pediatric Clinic, PLLC

  • Pediatrics Physician
  • North Wilkesboro, NC
  • NPI 1659487502
  NPD (past)

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1487006847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 W PARK DR",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593564",
            "telephone_number": "336-903-0147",
            "fax_number": "336-903-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W PARK DR",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593564",
            "telephone_number": "336-903-0147",
            "fax_number": "336-903-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "GINNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg Eady
• Easter Seals Ucp North Carolina & Virginia Inc.
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Ebenezer Christian Childrens Home
• Eckerd Corporation (Rite Aid Pharmacy 11554)
• Elevate Chiropractic and Performance Therapy PLLC
• Angela Shew Elledge, OT/L
• Aletha Poplin Eller, PHARMD
• Connie Hall Eller, RN
• Cynthia Randall Eller, NP

• Physician Assistant in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.