NPIMap

Individual provider Active NPI

Justin Wayne Edwards, DO

  • Psychiatry Physician
  • Henderson, NV
National Provider Identifier
1851928485
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO3435 Issued in NV
Practice address
660 S Green Valley Pkwy Ste 140
Henderson, NV 89052-0431
Phone
(702) 704-3266
NPI assigned
Mar 24, 2020
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO3435 NV Primary

Addresses

Primary practice location

660 S Green Valley Pkwy Ste 140
Henderson, NV 89052-0431

Mailing address

660 S Green Valley Pkwy Ste 140
Henderson, NV 89052-0431
Phone (702) 704-3266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703002806 NV Practitioner - Psychiatry 6709200934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

660 S Green Valley Pkwy
Suite 140
Henderson, NV 89052-0431
Phone (702) 790-2701

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Justin W Edwards, PLLC Psychiatry CurrentSince Jul 7, 2024 Accepting new patients
Focus Mental Health Solutions Bhushan Wirjo Itzhaki Still PLLC Psychiatry CurrentSince Jun 20, 2024 Accepting new patients
Silver State Adolescent & Treatment Center LLC Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients

Locations

660 S Green Valley Pkwy
Ste 140
Henderson, NV 89052
Phone (702) 704-3266

6053 S Fort Apache Rd
Ste 120
Las Vegas, NV 89148

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1851928485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S GREEN VALLEY PKWY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520431",
            "telephone_number": "702-704-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S GREEN VALLEY PKWY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520431",
            "telephone_number": "702-704-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JUSTIN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "DO3435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.