Individual provider Active NPI

Vershern Edwards

  • Foot Surgery Podiatrist
  • Ridgeland, MS
National Provider Identifier
1497905079
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
80112 Issued in MS
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

Updated by the provider on Jul 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051018000968 MS Practitioner - Podiatry 8123044229 Reassigns benefits to 1 organization
I20260216002796 TX Practitioner - Podiatry 8123044229 Reassigns benefits to 2 organizations

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
Healthdrive Podiatry Group PAGroup PAC ID 1759334782, 24 clinicians

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

ProcedureNumber of procedures
Removal of nail tissue45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PA CurrentSince Jan 26, 2026 Accepting new patients
Foot and Surgery Clinic, Inc Foot Surgery CurrentSince Jun 21, 2017 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.

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

Verify at the official NPI Registry.