Individual provider Active NPI

Morgan Elizabeth Edwards, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1851761795
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12771 Issued in TX
Practice address
5901 Vega Ave Ste 100
Austin, TX 78735-5803
Phone
(844) 736-3395
NPI assigned
Oct 5, 2015
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X PA12771 TX Primary

Addresses

Primary practice location

5901 Vega Ave Ste 100
Austin, TX 78735-5803

Mailing address

5901 Vega Ave Ste 100
Austin, TX 78735-5803
Phone (844) 736-3395

Other practice location 1

1968 Peachtree Rd NW
Building 77, 5th Floor
Atlanta, GA 30309-1281
Phone (404) 605-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160215001316 GA Practitioner - Physician Assistant 9234433053 Reassigns benefits to 1 organization
I20191212000199 TX Practitioner - Physician Assistant 9234433053 Reassigns benefits to 1 organization
I20220429001940 FL Practitioner - Physician Assistant 9234433053 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57991CAMDPharmacist
007841GAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Jan 27, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jan 27, 2022 Accepting new patients
Premier Provider Health PA Past Accepting new patients
Carbon Health Primary Care of California PC PastSince May 1, 2023 Accepting new patients

Locations

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 329-3727

915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225

17903 W Lake Houston Pkwy
Ste 101
Humble, TX 77346
Phone (215) 570-6856

Organizations & group practices 6

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": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1851761795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 VEGA AVE STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787355803",
            "telephone_number": "844-736-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 VEGA AVE STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787355803",
            "telephone_number": "844-736-3395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1968 Peachtree Rd NW",
            "address_2": "Building 77, 5th Floor",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091281",
            "country_code": "US",
            "telephone_number": "404-605-4600",
            "fax_number": "404-609-6720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MORGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.