Individual provider Active NPI

Beth Virginia Edwards, PA-C

  • Physician Assistant
  • Gaffney, SC
National Provider Identifier
1851356877
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1530 N Limestone St
Gaffney, SC 29340-4742
Phone
(864) 216-4640
NPI assigned
Apr 20, 2006
Last updated
May 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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 NU Primary

Addresses

Primary practice location

1530 N Limestone St
Gaffney, SC 29340-4742

Mailing address

1530 N Limestone St
Gaffney, SC 29340-4742
Phone (864) 216-4640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160916000832 WV Practitioner - Physician Assistant 5395639926 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
713WVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gaffney Emergency Group PC Physician Assistant Past Accepting new patients
SC Cherokee Emergency Physicians Past Accepting new patients
Upstate Emergency Physicians LLC Past Accepting new patients
Upstate SC Emergency Physicians Past Accepting new patients
Mary Black Physician Services LLC Physician Assistant Past Accepting new patients
Upstate Emergency Service Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bedwards20786@gohealthupmc.direct-ci.com
  • FHIR API: https://epicproxy.et1462.epichosted.com/FHIRProxyPRD/api/FHIR/R4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1851356877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404742",
            "telephone_number": "864-216-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404742",
            "telephone_number": "864-216-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BETH",
        "middle_name": "VIRGINIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

Verify at the official NPI Registry.