Active NPI
Alexandra L Edenfield, PA
- Physician Assistant
- Port Royal, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2099
- Practice address
- 2210 Mossy Oaks Rd
Port Royal, SC 29935-1046 - Phone
- (843) 986-0900
- NPI assigned
- Apr 17, 2014
- Last updated
- Jun 16, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2099 | SC | Primary |
Addresses
Primary practice location
2210 Mossy Oaks Rd
Port Royal, SC 29935-1046
Mailing address
721 Okatie Hwy
Okatie, SC 29909-3963
Phone (843) 987-7400
Other practice location 1
109 S. Green Street
Ridgeland, SC 29936
Phone (843) 726-6773
Other practice location 2
218 E Blackstock Rd
Spartanburg, SC 29301-2607
Phone (864) 576-8646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora South Carolina LLC
Practice addresses (Care Compare)
18 Professional Village Cir
Beaufort, SC 29907-1570
Phone (843) 986-9670
721 N Okatie Hwy
Ridgeland, SC 29936-8276
721 Okatie Hwy
Okatie, SC 29909-3963
Phone (843) 987-7400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2099 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastonia Physician Services, PLLC | Current | Accepting new patients | |
| Beaufort Jasper Hampton Comprehensive Health Services, Inc | Current | Accepting new patients | |
| Tricia Etheridge, MD, PC | Current | Accepting new patients | |
| Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Current | Accepting new patients | |
| Saint Josephs Medical Group Inc | Past | Accepting new patients | |
| Beaufort-Jasper-Hampton Comprehensive Health Service Inc | Past | Accepting new patients |
Locations
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
721 Okatie Hwy
Okatie, SC 29909
109 S Green St
Ridgeland, SC 29936
Phone (843) 726-6773
721 N Okatie Hwy
Ridgeland, SC 29936
Phone (843) 987-7492
721 N Okatie Hwy
#170
Ridgeland, SC 29936
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/EGDCBD
- https://fhir4.healow.com/fhir/r4/EICIBD
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba BJHCHS, Inc.
- Federally Qualified Health Center (FQHC)
- Ridgeland, SC
- NPI 1649276148
-
- Emergency Medicine Physician
- Gastonia, NC
- NPI 1316367691
-
dba Varnville Medical Center
- Federally Qualified Health Center (FQHC)
- Varnville, SC
- NPI 1073318259
-
- Family Medicine Physician
- Ridgeland, SC
- NPI 1578620480
-
- Emergency Medicine Physician
- Mount Holly, NC
- NPI 1023416708
-
dba Chelsea Health Center Pharmacy
- Community/Retail Pharmacy
- Okatie, SC
- NPI 1578607248
-
- Family Medicine Physician
- Pembroke, GA
- NPI 1154349850
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1669892626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 OKATIE HWY",
"city": "OKATIE",
"state": "SC",
"postal_code": "299093963",
"telephone_number": "843-987-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 MOSSY OAKS RD",
"city": "PORT ROYAL",
"state": "SC",
"postal_code": "299351046",
"telephone_number": "843-986-0900"
}
],
"practiceLocations": [
{
"address_1": "109 S. Green Street",
"address_purpose": "LOCATION",
"city": "Ridgeland",
"state": "SC",
"postal_code": "29936",
"country_code": "US",
"telephone_number": "843-726-6773",
"fax_number": "843-726-6778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "218 E Blackstock Rd",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293012607",
"country_code": "US",
"telephone_number": "864-576-8646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDENFIELD",
"first_name": "ALEXANDRA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-17",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "2099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Royal, SC
- Roy O Darby III, PH.D.
- Rosalind Dawson, M.D.
- Brooke Ashley Dean, PH. D.
- Patricia A Dean, M.ED.
- Doctors Care SC, PA (Doctors Care Beaufort)
- John Bruce Etheridge, MD
- Richard H Fitzgerald, M.D.
- Arianne M Fredrickson, PA-C
- Fresenius Medical Care Beaufort County, LLC (FMC Dialysis Services Low Country Dialysis)
- Genesis Eldercare Rehabilitation Services LLC (Genesis Rehabilitation Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.