Individual provider Active NPI

Rhea Edwards, PA-C

  • Surgical Physician Assistant
  • Memphis, TN
National Provider Identifier
1700137031
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2185 Issued in TN
Practice address
6025 Walnut Grove Rd Ste 301
Memphis, TN 38120-2123
Phone
(901) 226-0456
Fax
(901) 226-0458
NPI assigned
Sep 26, 2012
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2185 TN
Surgical Physician Assistant 363AS0400X 2185 TN Primary

Addresses

Primary practice location

6025 Walnut Grove Rd Ste 301
Memphis, TN 38120-2123

Mailing address

6474 Rutherford Cir
Arlington, TN 38002-1701
Phone (256) 479-9029

Other identifiers 1

IdentifierTypeStateIssuer
Q000498MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121219000253 TN Practitioner - Physician Assistant 0446402531 Reassigns benefits to 3 organizations
I20260223002992 MS Practitioner - Physician Assistant 0446402531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-3882

6025 Walnut Grove Rd
Suite 301
Memphis, TN 38120-2123
Phone (901) 226-0456

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2130

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2185TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Blakney Current Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Aug 1, 2022 Accepting new patients
Ut Medical Group, Inc. CurrentSince Oct 1, 2012 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Aug 1, 2022 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients
Saint Francis Cardiovascular Surgery LLC Past Accepting new patients

Locations

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

6025 Walnut Grove Rd
Ste 301
Memphis, TN 38120
Phone (901) 226-0456

930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650

Interoperability endpoints

  • Direct secure messaging: redwards191734@direct.bmhcc.org
  • Direct secure messaging: redwards32424@mlh.direct-ci.com

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1700137031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6474 RUTHERFORD CIR",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380021701",
            "telephone_number": "256-479-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD STE 301",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202123",
            "telephone_number": "901-226-0456",
            "fax_number": "901-226-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "RHEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2185",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "2185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q000498",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.