Active NPI
Vershern Edwards
- Foot Surgery Podiatrist
- Ridgeland, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 80112
- Practice address
- 297 Hwy 51 Suite C
Ridgeland, MS 39157 - Phone
- (601) 605-2400
- NPI assigned
- Sep 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 80112 | MS | Primary |
Addresses
Primary practice location
297 Hwy 51 Suite C
Ridgeland, MS 39157
Mailing address
297 Hwy 51 Suite C
Ridgeland, MS 39157
Phone (601) 212-7960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Aubrey, TX 76227
Phone (940) 510-8021
2413 E Loop 820
Fort Worth, TX 76118-6933
Phone (888) 964-6681
5701 Hwy 80 W
Jackson, MS 39209-3512
Phone (601) 316-7559
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthdrive Podiatry Group, PA | Current | Accepting new patients | |
| Foot and Surgery Clinic, Inc | Foot Surgery | Current | Accepting new patients |
| Foot and Surgery Clinci, Inc | Foot Surgery | Current | Accepting new patients |
Locations
5701 Highway 80 W
Jackson, MS 39209
Phone (601) 316-7559
2413 E Loop 820 N
Ft Worth, TX 76118
Phone (773) 426-9232
Organizations & group practices 3
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.
-
- Podiatrist
- Fort Worth, TX
- NPI 1518112499
-
- Foot Surgery Podiatrist
- Ridgeland, MS
- NPI 1871953877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248393600000",
"number": "1497905079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "297 HWY 51 SUITE C",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "39157",
"telephone_number": "601-212-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "297 HWY 51 SUITE C",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "39157",
"telephone_number": "601-605-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "VERSHERN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-19",
"last_updated": "2009-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MS",
"license": "80112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.