Individual provider Active NPI

Jennifer Goode Edwards, DPM

  • Podiatrist
  • North Chesterfield, VA
National Provider Identifier
1619990652
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103300803 Issued in VA
Practice address
9409 Hull Street Rd Ste B
North Chesterfield, VA 23236-1200
Phone
(804) 745-3011
Fax
(877) 846-0824
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103300803 VA Primary

Addresses

Primary practice location

9409 Hull Street Rd Ste B
North Chesterfield, VA 23236-1200

Mailing address

PO Box 74365
North Chesterfield, VA 23236-0007
Phone (804) 745-3011

Other practice location 1

420 S Main St Ste B
Emporia, VA 23847-0016
Phone (804) 745-3011

Other identifiers 1

IdentifierTypeStateIssuer
9303502MedicaidVA

Other names 1

  • Dr. Jennifer Leatrice Edwards Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091027000805 VA Practitioner - Podiatry 9739226515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9409 Hull St Rd
Suite B
North Chesterfield, VA 23236-1200
Phone (804) 745-3011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goode 2 Feet Podiatrist CurrentSince Jul 1, 2002 Accepting new patients

Locations

425 S Main St
Ste F
Emporia, VA 23847
Phone (434) 348-3130

420 S Main St
Ste B
Emporia, VA 23847
Phone (804) 745-3011

9409 Hull Street Rd
Ste B
North Chesterfield, VA 23236
Phone (804) 745-3011

Interoperability endpoints

  • Direct secure messaging: jedwards@g2f-va.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1619990652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74365",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232360007",
            "telephone_number": "804-745-3011",
            "fax_number": "877-846-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9409 HULL STREET RD STE B",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361200",
            "telephone_number": "804-745-3011",
            "fax_number": "877-846-0824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 S Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "VA",
            "postal_code": "238470016",
            "country_code": "US",
            "telephone_number": "804-745-3011",
            "fax_number": "877-846-0824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JENNIFER",
        "middle_name": "GOODE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103300803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9303502",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "EDWARDS",
            "middle_name": "LEATRICE",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.