EDEN TEDLA PA-C
NPI 1013437342
Physician Assistant in Charlotte, NC

Q: What is Eden Tedla's NPI number?

The NPI number for Eden Tedla is 1013437342. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Q: What is Eden Tedla's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Eden Tedla was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 27, 2017PECOS EnrolledAccepts Medicare Assignment

200 HAWTHORNE LN, CHARLOTTE, NC 28204(704) 384-5416(704) 384-5992 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2020, Aug 15, 2019, Jul 19, 2017 and 1 more (4 updates tracked since 2017).

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About Eden Tedla Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDEN TEDLA PA-C (NPI 1013437342) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-07257.) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains a secondary practice location in Thomasville.

NPPES Registry Identity

NPI1013437342

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameEDEN TEDLACredential: PA-C

Location Address200 HAWTHORNE LNCharlotte, NC 28204-2515

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 474-3444 · Fax (336) 474-8111

Phone(704) 384-5416

Fax(704) 384-5992

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 27, 2017

Last NPPES UpdateOctober 26, 20204 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2020

✔ NPI 1013437342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-07257.

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

200 HAWTHORNE LN, Charlotte, NC 28204

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Secondary Practice Location 1

Location 1207 Old Lexington RdThomasville, NC 27360-3428 · Phone (336) 474-3444 · Fax (336) 474-8111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eden Tedla Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456624493

PECOS Enrollment IDI20170913001687

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340053

Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELO SYLVIE OLENGA CRNA

Nurse Anesthetist, Certified Registered