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STACY L. EDWARDS, D.O.
NPI 1730105172
Internal Medicine in Clearwater, FL

Active since July 15, 2006CLIA 10D2316703 · Waiver
2623 MCCORMICK DR STE 101, CLEARWATER, FL 33759(727) 564-9336(727) 223-3228 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Stacy L. Edwards, D.o. NPPES

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

STACY L. EDWARDS, D.O. (NPI 1730105172) is a healthcare organization registered as an internal medicine in Clearwater, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Stacy L Edwards, Physician, as its authorized official.

NPPES Registry Identity

NPI1730105172
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSTACY EDWARDS, INC
Location Address2623 MCCORMICK DR STE 101Clearwater, FL 33759-1046
Mailing Address1022 Main St, Suite MDunedin, FL 34698-5225 · (727) 733-7922 · Fax (737) 738-6205
Phone(727) 564-9336
Fax(727) 223-3228
Organization SubpartNo
Authorized OfficialStacy L EdwardsPhysician · (727) 410-6655
Enumeration DateJuly 15, 2006
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1730105172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · OS7714
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2623 MCCORMICK DR STE 101, Clearwater, FL 33759
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Other Names 1

Doing Business AsStacy L. Edwards, D.o.

Other Identifiers 9

Other257297FL · Avmed
Other5580758FL · Aetna
Other123421FL · Humana
Other20886FL · Bcbs
Other0161979008FL · Cigna
Other1057441FL · Aetna
Other1320FL · Baycare
Other0001713FL · Uhc
Other0412595FL · Uhc

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2316703

Stacy Edwards, Inc · Clearwater, FL
Active · expires Jan 9, 2027
CLIA Number10D2316703
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorStacy L. Edwards
Laboratory Phone(727) 564-9336
Laboratory LocationStacy Edwards, Inc2623 Mccormick Dr - Ste 101, Clearwater, FL 33759
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. STACY L EDWARDS DO
Internal Medicine
2623 MCCORMICK DR STE 101
CLEARWATER, FL 33759
Pinellas County (727) 564-9336

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 Stacy Edwards, Inc's NPI number?

The NPI number for Stacy Edwards, Inc is 1730105172. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as Stacy L. Edwards, D.O..

Where is Stacy Edwards, Inc located?

Stacy Edwards, Inc is located at 2623 Mccormick Dr Ste 101, Clearwater, FL 33759. The listed phone number is (727) 564-9336.

What is Stacy Edwards, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Stacy Edwards, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2316703) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stacy Edwards, Inc was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.