DR. EDINA GORMAN
NPI 1114449402
Dentist - General Practice in Mechanicsville, VA
About Dr. Edina Gorman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDINA GORMAN (NPI 1114449402) is an individual general practice provider in Mechanicsville, Virginia, licensed in Illinois (018.002032) and active in the NPI registry since July 2017. She has opted out of Medicare through October 11, 2026 and remains eligible to order and refer and maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Edina Gorman has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 11, 2018 through October 11, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MECHANICSVILLE, VA 23111
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 Edina Gorman's NPI number?
The NPI number for Edina Gorman is 1114449402. It was assigned to this individual provider in the NPPES registry on July 9, 2017.
Where is Edina Gorman located?
Edina Gorman practices at 6353 Mechanicsville Tpke, Mechanicsville, VA 23111. The listed phone number is (804) 730-3400.
What is Edina Gorman's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Edina Gorman enrolled in Medicare?
No. Edina Gorman has opted out of Medicare through October 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Edina Gorman accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana list Edina Gorman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Edina Gorman was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Edina Gorman · NPI 1114449402
General Practice provider in Mechanicsville, Virginia. Individual provider, active in the CMS NPPES registry since July 9, 2017.
## Identity
- **NPI:** 1114449402 (Entity type: Individual)
- **Enumerated:** July 9, 2017
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 018.002032 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 6353 MECHANICSVILLE TPKE, Mechanicsville, VA 23111
- **Phone:** (804) 730-3400
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 11, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** August 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1114449402) · Data from the CMS NPPES public registry.