Ryan John Edwards, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

304206 Issued in LA

Practice address

1322 Elton Rd Ste P
Jennings, LA 70546

Phone

(337) 824-2282

Fax

(337) 824-0058

NPI assigned

May 15, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Louisiana State University School of Medicine in New Orleans, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edwards Family Medicine a Professional Medical CorporationGroup PAC ID 7618126194, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jeff Davis MD Homecare Home health agency, Jennings, LA, CCN 197039
• Ochsner American Legion Hospital Hospital, Jennings, LA, CCN 190053
• Acadia General Hospital Hospital, Crowley, LA, CCN 190044
• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
• Camelot Brookside Nursing home, Jennings, LA, CCN 195550
• Jeff Davis Living Center, LLC Nursing home, Jennings, LA, CCN 195314

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.healthtogo.me/fhir/r4/imed.efm

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Acadia Rehabilitation Hospital, LLC

  • Rehabilitation Hospital
  • Jennings, LA
  • NPI 1043216583

  General Partnership Interest

  CMS ownership

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.

• Edwards Family Medicine a Professional Medical Corporation

  • Rural Health Clinic/Center
  • Jennings, LA
  • NPI 1619236569

  Family Medicine, LA

  Medicare reassignment Care Compare group NPD
• Edwards Family Medicine a Professional Medical Corporation

  • Family Medicine Physician
  • Jennings, LA
  • NPI 1164203931

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Acadia General Hospital, Inc.

  • General Acute Care Hospital
  • Crowley, LA
  • NPI 1669882940

  Hospital

  Care Compare affiliation
• Jeff Davis Living Center, LLC

  • Skilled Nursing Facility
  • Jennings, LA
  • NPI 1316005861

  Nursing home

  Care Compare affiliation
• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799

  Hospital

  Care Compare affiliation
• LHCG Lxxviii, LLC

  • Home Health Agency
  • Jennings, LA
  • NPI 1588112239
  Care Compare affiliation
• Ochsner American Legion Hospital LLC

  • General Acute Care Hospital
  • Jennings, LA
  • NPI 1184373268

  Hospital

  Care Compare affiliation
• PMG Opco-Jennings LLC

  • Skilled Nursing Facility
  • Jennings, LA
  • NPI 1952061061

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1619355252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ELTON RD STE P",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464100",
            "telephone_number": "337-824-2282",
            "fax_number": "337-824-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 ELTON RD STE P",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "70546",
            "telephone_number": "337-824-2282",
            "fax_number": "337-824-0058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 Oak Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018849",
            "country_code": "US",
            "telephone_number": "337-494-6767",
            "fax_number": "337-494-6750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "RYAN",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-15",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "304206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Renee' Duplichan, RN
• Dustin Joubert DDS Inc
• Edwards Family Medicine a Professional Medical Corporation
• Edwards Family Medicine a Professional Medical Corporation
• Richard Earl Edwards III, M.D.
• Evergreen Presbyterian Ministries, Inc.
• Monica Ewansik, PA-C
• F. Michael Hindelang, III, MD, Apmc
• Family Drug Store of Jennings Inc
• Samantha Paige Fatherree, LMSW

• All providers in Jennings, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.