HOLLY L EDMONDS PA-C
NPI 1669611034
Physician Assistant - Surgical in Baton Rouge, LA

Active since February 09, 2009PECOS EnrolledAccepts Medicare Assignment
6400 PERKINS RD, BATON ROUGE, LA 70808(225) 330-0497(225) 330-0498 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 28, 2022, Jun 16, 2021 (2 updates tracked since 2021).

About Holly L Edmonds Pa-c NPPES

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

HOLLY L EDMONDS PA-C (NPI 1669611034) is an individual surgical provider in Baton Rouge, Louisiana, licensed in Louisiana (A10599) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2003).

NPPES Registry Identity

NPI1669611034
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameHOLLY L EDMONDSCredential: PA-C
Location Address6400 PERKINS RDBaton Rouge, LA 70808-4124
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 765-5727 · Fax (225) 765-9196
Fax(225) 330-0498
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2003
Enumeration DateFebruary 9, 2009
Last NPPES UpdateJanuary 28, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2022
NPI 1669611034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in LA · A10599
6400 PERKINS RD, Baton Rouge, LA 70808

Other Identifiers 1

Other6347958LA · Louisiana License

Accepted 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

Holly L Edmonds Pa-c 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 ID6507266764
PECOS Enrollment IDI20210610001021
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.

Other Providers at the Same Location NPPES 19

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

Nurse Practitioner (Family)
6400 PERKINS RD, INPATIENT UNIT
BATON ROUGE, LA 70808
Specialist (Research Study)
6400 PERKINS RD
BATON ROUGE, LA 70808
Nurse Practitioner (Women's Health)
6400 PERKINS RD
BATON ROUGE, LA 70808
Nurse Practitioner (Adult Health)
6400 PERKINS RD
BATON ROUGE, LA 70808
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6400 PERKINS RD, PENNINGTON CENTER
BATON ROUGE, LA 70808
Internal Medicine
6400 PERKINS RD
BATON ROUGE, LA 70808
Durable Medical Equipment & Medical Supplies
6400 PERKINS RD
BATON ROUGE, LA 70808
Psychologist (Clinical)
6400 PERKINS RD
BATON ROUGE, LA 70808

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669611034, enumerated as an "individual" on February 09, 2009.

The provider is located at 6400 PERKINS RD BATON ROUGE, LA 70808 and the phone number is (225) 330-0497.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: AmeriHealth Caritas Next, Blue Cross and Blue. Please consult your insurance carrier or call the provider to verify.