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EDGEWATER GYNECOLOGY P A
NPI 1508818691
Obstetrics & Gynecology in Edgewater, FL

Active since May 17, 2006
109 W. KNAPP AVENUE, EDGEWATER, FL 32132(386) 427-4544(386) 427-8688 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edgewater Gynecology P A NPPES

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

EDGEWATER GYNECOLOGY P A (NPI 1508818691) is a healthcare organization registered as an obstetrics & gynecology in Edgewater, Florida and active in the NPI registry since May 2006. The organization lists Heather Michelle Metchick, President, as its authorized official.

NPPES Registry Identity

NPI1508818691
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameEDGEWATER GYNECOLOGY P A
Location Address109 W. KNAPP AVENUEEdgewater, FL 32132
Mailing Address109 W. Knapp AvenueEdgewater, FL 32132 · (386) 427-4544 · Fax (386) 427-8688
Phone(386) 427-4544
Fax(386) 427-8688
Organization SubpartNo
Authorized OfficialHeather Michelle MetchickPresident · (386) 427-4544
Enumeration DateMay 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1508818691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
109 W. KNAPP AVENUE, Edgewater, FL 32132
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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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edgewater Gynecology P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20040831001314Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Edgewater Gynecology P A, which bills Medicare for the services this clinician delivers.

Clinician (1)

Heather Metchick, MD
Gynecological Oncology
NPI 1144225541
433 N CAUSEWAY
New Smyrna Beach, FL 32169
(386) 427-4441
✔ PECOS✔ Accepts Medicare2.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Edgewater Gynecology P A's NPI number?

The NPI number for Edgewater Gynecology P A is 1508818691. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Edgewater Gynecology P A located?

Edgewater Gynecology P A is located at 109 W. Knapp Avenue, Edgewater, FL 32132. The listed phone number is (386) 427-4544.

What is Edgewater Gynecology P A's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Edgewater Gynecology P A enrolled in Medicare?

Yes. Edgewater Gynecology P A is registered in the Medicare PECOS enrollment system.

When is Edgewater Gynecology P A's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Edgewater Gynecology P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gynecological Oncology) reassigns their Medicare billing to Edgewater Gynecology P A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Edgewater Gynecology P A was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.