Active NPI
WB Edwards MD LLC
- Psychiatry Physician
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME65288
- Legal business name
- WB EDWARDS MD LLC
- Practice address
- 1607 Lisenby Ave
Suite D
Panama City, FL 32405-3796 - Phone
- (850) 250-3360
- Fax
- (850) 640-3798
- NPI assigned
- Jan 19, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wilson Barton Edwards Jr., M.D.
- Title
- Owner
- Phone
- (850) 250-3360
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | ME65288 | FL | |
| Psychiatry Physician | 2084P0800X | ME65288 | FL | Primary |
Addresses
Primary practice location
1607 Lisenby Ave
Suite D
Panama City, FL 32405-3796
Mailing address
1607 Lisenby Ave
Suite D
Panama City, FL 32405-3796
Phone (850) 250-3360
National Provider Directory
National Provider DirectoryLocations
1607 Lisenby Ave
Ste D
Panama City, FL 32405
Phone (850) 250-3360
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Forensic Psychiatry Physician
- Panama City, FL
- NPI 1588692446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489536000000",
"number": "1497291124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 LISENBY AVE",
"address_2": "SUITE D",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324053796",
"telephone_number": "850-250-3360",
"fax_number": "850-640-3798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 LISENBY AVE",
"address_2": "SUITE D",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324053796",
"telephone_number": "850-250-3360",
"fax_number": "850-640-3798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WB EDWARDS MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-19",
"last_updated": "2017-03-15",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "WILSON",
"authorized_official_middle_name": "BARTON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-250-3360",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "FL",
"license": "ME65288",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME65288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.