JUSTIN R EDMONDSON
NPI 1609107846
Physician Assistant - Medical in Mobile, AL

Active since January 28, 2010PECOS Enrolled
98.22/100
CMS Quality Rating
2350 SCHILLINGER RD S, SUITE A, MOBILE, AL 36695(251) 633-0123(251) 633-0123 Get Directions Write a Review

NPPES record last updated: January 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin R Edmondson NPPES

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

JUSTIN R EDMONDSON (NPI 1609107846) is an individual medical provider in Mobile, Alabama, licensed in Alabama (PA.671) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609107846
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJUSTIN R EDMONDSON
Location Address2350 SCHILLINGER RD S, SUITE AMobile, AL 36695-4177
Mailing AddressPo Box 7627Mobile, AL 36670-0627 · (251) 633-7211 · Fax (251) 410-6079
Fax(251) 633-0123
Sole ProprietorNo
Enumeration DateJanuary 28, 2010
NPI 1609107846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AL · PA.671
2350 SCHILLINGER RD S, Mobile, AL 36695

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Justin R Edmondson 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.12
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Physician Assistant (Medical)
2350 SCHILLINGER RD S
MOBILE, AL 36695
Physician Assistant (Medical)
2350 SCHILLINGER RD S, SUITE A
MOBILE, AL 36695
Physician Assistant
2350 SCHILLINGER RD S
MOBILE, AL 36695
Nurse Practitioner (Family)
2350 SCHILLINGER RD S, SUITE A
MOBILE, AL 36695
Physician Assistant
2350 SCHILLINGER RD S, SUITE A
MOBILE, AL 36695
Physician Assistant
2350 SCHILLINGER RD S
MOBILE, AL 36695
Physician Assistant
2350 SCHILLINGER RD S, SUITE A
MOBILE, AL 36695
Family Medicine
2350 SCHILLINGER RD S
MOBILE, AL 36695

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 Justin Edmondson's NPI number?

The NPI number for Justin Edmondson is 1609107846. It was assigned to this individual provider in the NPPES registry on January 28, 2010.

Where is Justin Edmondson located?

Justin Edmondson practices at 2350 Schillinger Rd S Suite A, Mobile, AL 36695. The listed phone number is (251) 633-0123.

What is Justin Edmondson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Justin Edmondson enrolled in Medicare?

Yes. Justin Edmondson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Edmondson was last updated on January 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.