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

DERRELL L EDWARDS
NPI 1205735453
Day Training, Developmentally Disabled Services in Orange Park, FL

Q: What is Derrell Edwards's NPI number?

The NPI number for Derrell Edwards is 1205735453. It was assigned to this individual provider in the NPPES registry on November 3, 2026.

Q: What is Derrell Edwards's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Q: When was this NPI record last updated?

The NPPES record for Derrell Edwards was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 03, 2026

630 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 327-0607 Get Directions Write a Review

NPPES record added: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Derrell L Edwards NPPES

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

DERRELL L EDWARDS (NPI 1205735453) is an individual day training, developmentally disabled services provider in Orange Park, Florida and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1205735453

Entity TypeIndividualMale

Primary Taxonomy251C00000X

Provider Legal NameDERRELL L EDWARDS

Location Address630 KINGSLEY AVEOrange Park, FL 32073-5465

Mailing Address630 Kingsley AveOrange Park, FL 32073-5465 · (904) 327-0607

Phone(904) 327-0607

Sole ProprietorYes

Enumeration DateNovember 3, 2026

NPPES CertifiedNovember 3, 2026

✔ NPI 1205735453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

630 KINGSLEY AVE, Orange Park, FL 32073

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Other Providers at the Same Location NPPES 2

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

CHANTAY LATANYA OWENS IBCLC

Lactation Consultant, Non-RN

630 KINGSLEY AVE
ORANGE PARK, FL 32073

Clay County (904) 588-4067

MR. JOSEPH SHULER

Non-emergency Medical Transport (VAN)

630 KINGSLEY AVE
ORANGE PARK, FL 32073

Clay County (386) 872-2629

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 Derrell Edwards's NPI number?

The NPI number for Derrell Edwards is 1205735453. It was assigned to this individual provider in the NPPES registry on November 3, 2026.

Where is Derrell Edwards located?

Derrell Edwards practices at 630 Kingsley Ave, Orange Park, FL 32073. The listed phone number is (904) 327-0607.

What is Derrell Edwards's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Derrell Edwards was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.