ALLICIA EDOSA NP-C
NPI 1306456884
Nurse Practitioner - Family in Washington, DC

Q: What is Allicia Edosa's NPI number?

The NPI number for Allicia Edosa is 1306456884. It was assigned to this individual provider in the NPPES registry on August 9, 2020.

Q: What is Allicia Edosa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Allicia Edosa was last updated on February 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 09, 2020PECOS Enrolled

1350 CONNECTICUT AVE NW STE 1250, WASHINGTON, DC 20036(202) 627-1901 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2024, Jun 2, 2023, Aug 9, 2020 (3 updates tracked since 2020).

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About Allicia Edosa Np-c NPPES

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

ALLICIA EDOSA NP-C (NPI 1306456884) is an individual family provider in Washington, District Of Columbia, licensed in District Of Columbia (NP500003934) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Austell.

NPPES Registry Identity

NPI1306456884

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALLICIA EDOSACredential: NP-C

Location Address1350 CONNECTICUT AVE NW STE 1250Washington, DC 20036-1728

Mailing Address115 Carriage Lake DrStockbridge, GA 30281-6287

Phone(202) 627-1901

Sole ProprietorNo

Enumeration DateAugust 9, 2020

Last NPPES UpdateFebruary 29, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 29, 2024

✔ NPI 1306456884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in DC · NP500003934✔ Licensed in GA · RN264232✔ Licensed in NC · 5019317✔ Licensed in TX · 1115651

1350 CONNECTICUT AVE NW STE 1250, Washington, DC 20036

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Secondary Practice Location 1

Location 14760 Austell Rd Ste 1Austell, GA 30106-2007 · Phone (770) 819-1484

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allicia Edosa Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20036 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

Most-billed visit code 99214

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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