Victoria Edwards, PA-C
Physician Assistant in Saint Johns, FL. Individual provider (NPI-1).
NPI number1144945643
StatusActive
Last updated in NPPESJan 8, 2025
Details
- NPI
- 1144945643
- Entity type
- Individual (NPI-1)
- Name
- Victoria Edwards
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2022
- Certification date
- Jan 8, 2025
- Last updated
- Jan 8, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 50.009051RX | OH | Yes |
| 363A00000X | Physician Assistant | PA9116604 | FL |
Practice location
201 Village Oaks DrSaint Johns, FL 32259-3876
Phone 904-240-0442
Mailing address
700 Ackerman Rd Ste 2120Columbus, OH 43202-1559
Phone 614-293-5066
Other practice locations
460 W 10th Ave Fl 1
Columbus, OH 43210-1240
Columbus, OH 43210-1240
Phone 614-293-5066 · Fax 614-293-7520
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Physician Assistant providers in Saint Johns · All 371 providers in Saint Johns
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