GREGORY THOMAS EDWARDS PAC
NPI 1215458690
Physician Assistant in Fairfield, OH

Q: What is Gregory Edwards's NPI number?

The NPI number for Gregory Edwards is 1215458690. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Q: What is Gregory Edwards'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 Gregory Edwards was last updated on September 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 06, 2017PECOS EnrolledAccepts Medicare Assignment

5108 SANDY LN, FAIRFIELD, OH 45014(866) 934-7450 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2025, Jul 21, 2022, Jul 2, 2018 and 4 more (7 updates tracked since 2017).

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About Gregory Thomas Edwards Pac NPPES

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

GREGORY THOMAS EDWARDS PAC (NPI 1215458690) is an individual physician assistant in Fairfield, Ohio, licensed in Ohio (50.005085RX) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1215458690

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameGREGORY THOMAS EDWARDSCredential: PAC

Location Address5108 SANDY LNFairfield, OH 45014-2738

Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600

Phone(866) 934-7450

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 6, 2017

Last NPPES UpdateSeptember 16, 20257 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2025

✔ NPI 1215458690 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 OH · 50.005085RX

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.

5108 SANDY LN, Fairfield, OH 45014

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Other Identifiers 1

Medicaid0235308OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.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

Gregory Thomas Edwards Pac 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 ID7719259894

PECOS Enrollment IDI20170824001263

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45014 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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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.

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