James Travers Edwards Jr., M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

0101027348 Issued in VA

Practice address

12 Bruton Ave
Newport News, VA 23601-1602

Phone

(757) 594-4111

Fax

(757) 594-4115

NPI assigned

May 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1720081250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4006",
            "fax_number": "757-594-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BRUTON AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011602",
            "telephone_number": "757-594-4111",
            "fax_number": "757-594-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JAMES",
        "middle_name": "TRAVERS",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0101027348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720081250",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenell Eddins, PA
• Eden Home Inc
• Bethany Nicole Craft Edge, RDN
• Andrea Marie Edwards, PA-C
• Avis Edwards
• Jonathan Edwards, M.D.
• Nikia K Edwards, LPC, CSAC, NCC
• Richard Ralph Edwards, MD
• Eehim Inc
• Efuhealth LTC, P.L.L.C.

• Adult Medicine Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Adult Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.