Individual provider Active NPI

Gregory Ashton Edwards, M.D.

  • Urology Physician
  • Longview, TX
National Provider Identifier
1700853793
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
L3632 Issued in TX
Practice address
802 Medical Dr
Suite 400
Longview, TX 75605-5100
Phone
(903) 757-7871
Fax
(903) 753-2479
NPI assigned
Mar 8, 2006
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X L3632 TX Primary

Addresses

Primary practice location

802 Medical Dr
Suite 400
Longview, TX 75605-5100

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (729) 997-8000

Other identifiers 2

IdentifierTypeStateIssuer
150512506MedicaidTX
150512504MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070219000255 TX Practitioner - Urology 3274635479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Louisiana State University School of Medicine in New Orleans, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Clinics of Longview Urology CurrentSince Mar 5, 2012 Accepting new patients
Texas Oncology PA Urology Current Accepting new patients
Texas Oncology PA CurrentSince Feb 1, 2020 Accepting new patients
Texas Oncology PA CurrentSince Feb 1, 2020 Accepting new patients
Texas Oncology PA Past Accepting new patients

Locations

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808

1300 N 4th St
Longview, TX 75601
Phone (903) 757-2122

701 E Marshall Ave
Ste 300
Longview, TX 75601
Phone (903) 315-2730

703 E Marshall Ave
Ste 5008
Longview, TX 75601
Phone (903) 315-4800

802 Medical Cir
Ste 400
Longview, TX 75605
Phone (903) 232-8100

805 Medical Cir
Longview, TX 75605
Phone (903) 232-8100

Interoperability endpoints

  • Direct secure messaging: gregoryedwards@tusdfw.medalliesdirect.net

Organizations & group practices 5

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1700853793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "729-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MEDICAL DR",
            "address_2": "SUITE 400",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055100",
            "telephone_number": "903-757-7871",
            "fax_number": "903-753-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "GREGORY",
        "middle_name": "ASHTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "L3632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150512506",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150512504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.