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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. ELIJAH EDWARDS JR.
NPI 1104737634
Student in an Organized Health Care Education/Training Program in Tallahassee, FL

Active since September 14, 2026
1367 E LAFAYETTE ST, TALLAHASSEE, FL 32301(229) 206-4901 Get Directions Write a Review

NPPES record added: September 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 21, 2026, Sep 14, 2026 (2 updates tracked since 2026).

About Mr. Elijah Edwards Jr. NPPES

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

MR. ELIJAH EDWARDS JR. (NPI 1104737634) is an individual student in an organized health care education/training program in Tallahassee, Florida and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1104737634
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. ELIJAH EDWARDS JR.
Location Address1367 E LAFAYETTE STTallahassee, FL 32301-4774
Mailing Address1367 E Lafayette St Ste CTallahassee, FL 32301-4769 · (229) 206-4901
Phone(229) 206-4901
Sole ProprietorYes
Enumeration DateSeptember 14, 2026
Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1104737634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1367 E LAFAYETTE ST, Tallahassee, FL 32301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

BEHAVIORAL HEALTH ASSOCIATES, INC.
Nurse Practitioner (Psychiatric/Mental Health)
1367 E LAFAYETTE ST, SUITE B
TALLAHASSEE, FL 32301
Leon County (850) 325-6590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elijah Edwards's NPI number?

The NPI number for Elijah Edwards is 1104737634. It was assigned to this individual provider in the NPPES registry on September 14, 2026.

Where is Elijah Edwards located?

Elijah Edwards practices at 1367 E Lafayette St, Tallahassee, FL 32301. The listed phone number is (229) 206-4901.

What is Elijah Edwards's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Elijah Edwards was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.