Kelly Edwards, - Medicare Nurse Practitioner in Valdosta, GA

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Kelly Edwards, is a medicare enrolled "Nurse Practitioner - Family" in Valdosta, Georgia. His current practice location is 305 Oak Center Pl, Valdosta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 840-4671.

Kelly Edwards is licensed to practice in Georgia (license number RN290241) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750159588.

Contact Information

Kelly Edwards,
305 Oak Center Pl,
Valdosta, GA 31602-1678
(706) 840-4671
Not Available

Map and Direction




Provider's Profile

Full NameKelly Edwards
GenderMale
SpecialityNurse Practitioner - Family
Location305 Oak Center Pl, Valdosta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750159588
  • Provider Enumeration Date: 12/12/2023
  • Last Update Date: 12/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264966001
  • Enrollment ID: I20241115000826

Medical Identifiers

Medical identifiers for Kelly Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750159588NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 11029685 (Florida)Secondary
363LF0000XNurse Practitioner - Family RN290241 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Edwards allows following entities to bill medicare on his behalf.
Entity NameSouthland-nashville Emergency Services, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639467038
PECOS PAC ID: 9133390214
Enrollment ID: O20110921000500
Entity NameSouthland - Lakeland Medical Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821341397
PECOS PAC ID: 5890947980
Enrollment ID: O20121219000267
Entity NameSouthland Emergency Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477701472
PECOS PAC ID: 3779701743
Enrollment ID: O20140904001715

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Edwards is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Edwards,
305 Oak Center Pl,
Valdosta, GA 31602-1678

Ph: (706) 840-4671		Kelly Edwards,
305 Oak Center Pl,
Valdosta, GA 31602-1678

Ph: (706) 840-4671

Reviews and Comments


Nurse Practitioner Nurses in Valdosta, GA

John Stephen Dodd, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2501 N Patterson St, Valdosta, GA 31602
Phone: 229-259-4340    Fax: 259-259-4341
Vicki Wetter, NP-C
Nurse Practitioner
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Practice Location: 3120 N Oak Street Ext Ste G, Valdosta, GA 31602
Phone: 229-671-6130    Fax: 229-671-6764
Lindsey C Mcclain, NP
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Practice Location: 117 W Northside Dr, Valdosta, GA 31602
Phone: 229-242-6061    Fax: 229-242-6151
Ms. Barbara Ann Pearce, ANP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 4233 Camelot Xing, Valdosta, GA 31602
Phone: 229-469-4383    Fax: 229-469-4584
Mr. Nathan Kelly Roberson, NP-C
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Practice Location: 4340 Kings Way, Valdosta, GA 31602
Phone: 229-333-9736    
Mr. Robert Donald Keen, NP-C
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Practice Location: 2602 Rolling Rd, Valdosta, GA 31602
Phone: 229-560-4575    
William Thomas Mulligan Jr., FNP-BC
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Practice Location: 2409 N Patterson St # F3, Valdosta, GA 31602
Phone: 229-433-8160    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.