Madison Mauretta Edwards, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

BP10059385 Issued in TX

Practice address

1111 Gallagher Dr
Sherman, TX 75090-1713

Phone

(903) 771-2846

Fax

(903) 771-2849

NPI assigned

May 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CC Young Home Health and Hospice Home health agency, Dallas, TX, CCN 747252
• Texas Home Health Group of Desoto, LLC Home health agency, Desoto, TX, CCN 679103
• Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
• Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
• Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: medwards701924@direct.sw.org

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.

• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936
  Medicare reassignment Care Compare group NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD
• Healthtexas Provider Network

  dba Symmetry Anesthesia

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD

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

• Baylor Regional Medical Center at Plano

  dba Baylor Scott & White Medical Center - Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1649273434
  Care Compare affiliation
• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253
  Care Compare affiliation
• Bir JV LLP

  dba Baylor Institute for Rehabilitation

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901

  Inpatient rehabilitation facility

  Care Compare affiliation
• C.C. Young Memorial Home

  dba C.C. Young Home Health

  • Home Health Agency
  • Dallas, TX
  • NPI 1326231499
  Care Compare affiliation
• Texas Home Health Group of de Soto, LLC

  dba AccentCare Home Health of DeSoto

  • Home Health Agency
  • De Soto, TX
  • NPI 1316432180
  Care Compare affiliation

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1659807360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 S US HIGHWAY 75",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204584",
            "telephone_number": "903-416-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GALLAGHER DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750901713",
            "telephone_number": "903-771-2846",
            "fax_number": "903-771-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MADISON",
        "middle_name": "MAURETTA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10059385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ecnt Fec Physicians, PLLC
• Teundra Ector
• Ed McElroy, III DDS PC
• Kelsi Eddings, COTA/L
• Edmondson Ross & Hurst Memorial Clinic PLLC (Memorial Clinic)
• Brent Eenigenburg, ATP
• Efiia Medical Solutions PLLC
• Carolyn Marie Egres, RPH
• Eh of Fort Worth, LP (Enhabit Home Health)
• Osayuwamen Ehioghae

• Family Medicine Physician in Sherman, TX
• Providers in Sherman, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.

Verify at the official NPI Registry.