Individual provider Active NPI

Johnathan J Edwards, M.D.

  • Anesthesiology Physician
  • Daytona Beach, FL
National Provider Identifier
1740258300
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME119864 Issued in FL
Practice address
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone
(386) 231-3072
Fax
(386) 231-5962
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 10500 NV
Anesthesiology Physician 207L00000X ME119864 FL Primary

Addresses

Primary practice location

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167

Mailing address

5300 S Atlantic Ave Apt 19602
New Smyrna Beach, FL 32169-7522
Phone (702) 222-3238

Other practice location 1

7250 Peak Dr Ste 100
Las Vegas, NV 89128-9028
Phone (702) 386-4700

Other identifiers 1

IdentifierTypeStateIssuer
100504572MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, DC, MD, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040812001346 NV Practitioner - Anesthesiology 0042283657 Reassigns benefits to 5 organizations
I20051206000144 DC Practitioner - Anesthesiology 0042283657 Reassigns benefits to 2 organizations
I20181214000023 MD Practitioner - Anesthesiology 0042283657 Reassigns benefits to 1 organization
I20190328000647 FL Practitioner - Anesthesiology 0042283657 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Eastern Virginia Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guide Anesthesia FL LLCGroup PAC ID 5698273142, 32 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
PBS Anesthesia LLCGroup PAC ID 7911090204, 42 clinicians

Practice addresses (Care Compare)

541 Health Blvd
Daytona Beach, FL 32114-1493
Phone (386) 239-0021

63 Barkley Cir
Suite 103
Fort Myers, FL 33907-4514
Phone (239) 275-8882

7250 Peak Dr
Suite 100
Las Vegas, NV 89128-9028
Phone (702) 386-4700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.8 of 100Reported as group
Quality
99.47
Improvement activities
40
Cost
83.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10500NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Professional Services, Inc. Anesthesiology CurrentSince Mar 6, 2025 Accepting new patients
North American Partners in Anesthesia Maryland LLC Anesthesiology CurrentSince Mar 1, 2018 Accepting new patients
Red Rock Anesthesia Consultants LLC Anesthesiology CurrentSince May 1, 2023 Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Dec 11, 2023 Accepting new patients
First Colonies Anesthesia Associates, LLC Anesthesiology CurrentSince Oct 28, 2018 Accepting new patients
Miami Anesthesia Services LLC Anesthesiology CurrentSince Apr 30, 2020 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Aug 1, 2020 Accepting new patients
Guide Anesthesia FL LLC Anesthesiology CurrentSince Jan 19, 2026 Accepting new patients
PBS Anesthesia LLC CurrentSince Nov 19, 2024 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Aug 1, 2020 Accepting new patients
Innovative Medical Staffing Solutions Inc Anesthesiology CurrentSince Feb 2, 2019 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Mar 20, 2024 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Nov 1, 2020 Accepting new patients
Zen Anesthesia, LLC Anesthesiology CurrentSince Aug 1, 2020 Accepting new patients
Optum Medical Group Rhodes P C Anesthesiology CurrentSince Jul 6, 2013 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jul 6, 2013 Accepting new patients
Parrish Anesthesia Specialist, LLC Anesthesiology CurrentSince Jun 10, 2019 Accepting new patients

Locations (25 of 46)

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

107 Park Place Blvd
Davenport, FL 33837
Phone (863) 419-2812

541 Health Blvd
Daytona Beach, FL 32114
Phone (386) 239-0021

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

63 Barkley Cir
Ste 103
Fort Myers, FL 33907
Phone (239) 275-8882

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

7431 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 689-7000

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

95 Bulldog Blvd
Ste 104
Melbourne, FL 32901
Phone (321) 952-9800

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

130 Tamiami Trl N
Ste 210
Naples, FL 34102
Phone (239) 434-8707

401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

100 S Orange Ave
Ste 800
Orlando, FL 32801
Phone (407) 377-0251

100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

Interoperability endpoints

  • Direct secure messaging: jedwards13147@direct.umcsn.com
  • Direct secure messaging: johnathan.edwards@608346114424836.direct.elationemr.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1740258300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 S ATLANTIC AVE APT 19602",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321697522",
            "telephone_number": "702-222-3238",
            "fax_number": "702-221-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEMORIAL MEDICAL PKWY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175167",
            "telephone_number": "386-231-3072",
            "fax_number": "386-231-5962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7250 Peak Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891289028",
            "country_code": "US",
            "telephone_number": "702-386-4700",
            "fax_number": "702-386-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JOHNATHAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "10500",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME119864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100504572",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.