Lavonne Edwards, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0008127 Issued in MD

Practice address

131 Main St
Prince Frederick, MD 20678-3336

Phone

(410) 535-6975

Fax

(410) 535-6915

NPI assigned

Feb 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Physician Assistant

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calverthealth Medical Group, LLCGroup PAC ID 2163562695, 50 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.48 of 100Reported as group

Quality

74.54

Promoting interoperability

99

Improvement activities

40

Cost

81.24

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lavonne.edwards@directcalverthospital.org

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.

• Calverthealth Medical Group, LLC

  • Family Medicine Physician
  • Prince Frederick, MD
  • NPI 1386871390
  Medicare reassignment Care Compare group NPD (past)
• Calverthealth Medical Group, LLC

  • Surgery Physician
  • Solomons, MD
  • NPI 1285471128
  NPD
• Calverthealth Medical Group, LLC

  • Family Medicine Physician
  • Solomons, MD
  • NPI 1396534418
  NPD

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1932855970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MAIN ST STE 202",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783341",
            "telephone_number": "410-535-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAIN ST",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783336",
            "telephone_number": "410-535-6975",
            "fax_number": "410-535-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LAVONNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Dumesnil
• Dwi Services Inc
• Dwi Services, Inc
• Dwi Services, Inc
• Jennifer L Edwards, LCPC
• Melissa Alberta Edwards, CAC-AD
• Brittanie Lee Eggan, P.A.
• Wilfred R Ehrmantraut Jr., MD
• Kanayo Ekeada, PHARMD
• Amanda E Eller, P.T.D.P.T.

• Physician Assistant in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.