Individual provider Active NPI

Alexandra Edwards, NP

  • Sleep Medicine (Family Medicine) Physician
  • Laurel, MS
National Provider Identifier
1689440588
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
907779 Issued in MS
Practice address
234 S 12TH Ave
Laurel, MS 39440-4325
Phone
(601) 426-4745
Fax
(601) 518-7128
NPI assigned
Nov 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X 907779 MS Primary
Registered Nurse 163W00000X 913438 MS

Addresses

Primary practice location

234 S 12TH Ave
Laurel, MS 39440-4325

Mailing address

234 S 12TH Ave
Laurel, MS 39440-4325
Phone (601) 426-4745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260428000889 MS Practitioner - Nurse Practitioner 1355818352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2506 Lakeland Dr
Suite 300
Flowood, MS 39232-7640

2910 Prince George Rd
Hattiesburg, MS 39402-2451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
913438MSMDRegistered Nurse
907779MSMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joyce D Wade Pulmonary & Sleep Specialist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alexandra.edwards.p1@direct.tricountypulsleep.nextgenshare.com

Organizations & group practices 2

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": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1689440588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 S 12TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404325",
            "telephone_number": "601-426-4745",
            "fax_number": "601-518-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 S 12TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404325",
            "telephone_number": "601-426-4745",
            "fax_number": "601-518-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ALEXANDRA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "MS",
            "license": "907779",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "913438",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

Verify at the official NPI Registry.