Active NPI
Andrea Edwards, DO
- Internal Medicine Physician
- North Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS16818
- Practice address
- 2600 Laurel Rd E
North Venice, FL 34275-3226 - Phone
- (941) 917-4896
- Fax
- (941) 917-6884
- NPI assigned
- May 28, 2017
- Last updated
- Jan 14, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS16818 | FL | Primary |
Addresses
Primary practice location
2600 Laurel Rd E
North Venice, FL 34275-3226
Mailing address
PO Box 947407
Atlanta, GA 30394-7407
Phone (941) 917-2600
Other practice location 1
540 The Rialto
Venice, FL 34285-2900
Phone (414) 866-9279
Other practice location 2
1700 S Tamiami Trl
Sarasota, FL 34239-3509
Phone (941) 917-4896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS16818 | Other | FL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lincoln Memorial University Medical Department, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS16818 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMH Physician Services Inc | Internal Medicine | Current | Accepting new patients |
Locations
2600 Laurel Rd E
North Venice, FL 34275
Phone (941) 261-9000
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba First Physicians Group
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba dba Sarasota Memorial Home Care
- Home Health Agency
- Sarasota, FL
- NPI 1013915149
-
dba Sarasota Memorial Hospital - Venice
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1760910277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 947407",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303947407",
"telephone_number": "941-917-2600",
"fax_number": "941-917-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 LAUREL RD E",
"city": "NORTH VENICE",
"state": "FL",
"postal_code": "342753226",
"telephone_number": "941-917-4896",
"fax_number": "941-917-6884"
}
],
"practiceLocations": [
{
"address_1": "540 The Rialto",
"address_purpose": "LOCATION",
"city": "Venice",
"state": "FL",
"postal_code": "342852900",
"country_code": "US",
"telephone_number": "414-866-9279",
"fax_number": "941-486-3961",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 S Tamiami Trl",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342393509",
"country_code": "US",
"telephone_number": "941-917-4896",
"fax_number": "941-917-6884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-28",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS16818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "OS16818",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.