Individual provider Active NPI

Alice R Wilson-Edwards

  • Physician Assistant
  • Daytona Beach, FL
National Provider Identifier
1801937859
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9121692 Issued in FL
Practice address
305 Memorial Medical Pkwy Ste 308
Daytona Beach, FL 32117-5137
Phone
(386) 231-3600
Fax
(386) 231-3602
NPI assigned
Feb 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9121692 FL Primary

Addresses

Primary practice location

305 Memorial Medical Pkwy Ste 308
Daytona Beach, FL 32117-5137

Mailing address

305 Memorial Medical Pkwy Ste 308
Daytona Beach, FL 32117-5137
Phone (386) 231-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110909002772 PA Practitioner - Physician Assistant 6901982529 Reassigns benefits to 8 organizations
I20260619001347 FL Practitioner - Physician Assistant 6901982529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Grand View HospitalGroup PAC ID 8022001924, shared by 27 NPIs, 94 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

801 Ostrm St
Bethlehem, PA 18015-1000

915 Lawn Ave
Sellersville, PA 18960-1551
Phone (215) 257-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA053836PAMDPhysician Assistant
C0003416MDMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Sep 19, 2011 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2020 Accepting new patients
Grand View Hospital CurrentSince Jun 16, 2020 Accepting new patients
Grand View Hospital CurrentSince Apr 1, 2016 Accepting new patients
Grand View Hospital CurrentSince Nov 1, 2023 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 29, 2017 Accepting new patients
Grand View Hospital CurrentSince Dec 21, 2015 Accepting new patients
Grand View Hospital Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2020 Accepting new patients
Grand View Hospital CurrentSince Dec 21, 2015 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jul 29, 2017 Accepting new patients
Grand View Hospital CurrentSince Feb 1, 2021 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Sep 19, 2011 Accepting new patients
Doylestown Emergency Associates PC Past Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility Past Accepting new patients

Locations

103 Bethlehem Pike
Colmar, PA 18915
Phone (215) 453-3400

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

253 W State St
Doylestown, PA 18901
Phone (267) 880-0810

174 N Main St
Bldg 3
Dublin, PA 18917
Phone (215) 257-3697

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

270 Main St
Ste 2
Harleysville, PA 19438
Phone (215) 453-4100

419 S Broad St
Unit 4
Lansdale, PA 19446
Phone (267) 429-2561

424 Pottstown Ave
Pennsburg, PA 18073
Phone (484) 526-7474

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

700 Spruce St
Bsmt W
Philadelphia, PA 19106
Phone (215) 829-3264

9880 Bustleton Ave
Ste 205
Philadelphia, PA 19115
Phone (215) 676-2222

99 N West End Blvd
Ste 108
Quakertown, PA 18951
Phone (215) 453-3400

99 N West End Blvd
Ste 102
Quakertown, PA 18951
Phone (215) 538-0202

99 N West End Blvd
Ste 104
Quakertown, PA 18951
Phone (215) 453-4908

915 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-3270

915 Lawn Ave
Ste 203
Sellersville, PA 18960
Phone (215) 257-3697

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

3456 Bethlehem Pike
Souderton, PA 18964
Phone (215) 721-6500

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 20

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 20

Hospital & facility affiliations 2

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": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1801937859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY STE 308",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175137",
            "telephone_number": "386-231-3600",
            "fax_number": "386-231-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY STE 308",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175137",
            "telephone_number": "386-231-3600",
            "fax_number": "386-231-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-EDWARDS",
        "first_name": "ALICE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9121692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.