Active NPI
Gregory Allen Edwards, D.C.
- Chiropractor
- Ashburn, VA
National Provider Identifier
1700934239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1765
- Practice address
- 20916 Stubble Rd
Ashburn, VA 20147-3104 - Phone
- (703) 858-4400
- Fax
- (703) 858-4663
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1765 | VA | Primary |
Addresses
Primary practice location
20916 Stubble Rd
Ashburn, VA 20147-3104
Mailing address
111 Boal Ave
Boalsburg, PA 16827-1444
Phone (814) 308-9397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1765 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Wellness Solutions LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgery Physician
- Indiana, PA
- NPI 1255755104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1700934239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BOAL AVE",
"city": "BOALSBURG",
"state": "PA",
"postal_code": "168271444",
"telephone_number": "814-308-9397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20916 STUBBLE RD",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201473104",
"telephone_number": "703-858-4400",
"fax_number": "703-858-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "GREGORY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "1765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.