Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194716241 Individual Practitioner Male Practitioner

Clyde Richard Edwards , PA-C

Physician Assistant • Wake Forest, NC

Professional Overview & Biography Verified Profile Summary

Clyde Edwards, PA-C is a registered healthcare professional specializing in Physician Assistant in Wake Forest, NC. Practice services are available at 1655 WAKE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1655 Wake Dr
Suite 101

Wake Forest, NC 275874745

Telephone 9195564779
Fax 9195565277
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Wake Forest, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
42 Specialists

Practicing in Wake Forest, NC (9374 Statewide)

Telehealth Adoption Rate
31.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 102843

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID North Carolina License
102843 (NC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Rebecca Dallas , CPNP

Nurse Practitioner - Pediatrics

NPI 1013311653

Certified Pediatric Nurse Practitioner

NPI 1023294691

Doctor of Medicine (M.D.)

Cherita Anders , CPNP

Nurse Practitioner - Pediatrics

NPI 1053769448

Certified Pediatric Nurse Practitioner

NPI 1063514206

Doctor of Medicine (M.D.)

NPI 1104146190

Doctor of Medicine (M.D.)

Rachel Collins , CPNP-PC

Nurse Practitioner - Primary Care

NPI 1144629767

CPNPPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 25, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2013

Registered at 1655 WAKE DR, SUITE 101, WAKE FOREST, NC 275874745 (Tel: 9195564779)

📍
Updated Business Mailing Address September 25, 2013

Registered at 1655 WAKE DR, SUITE 101, WAKE FOREST, NC 275874745 (Tel: 9195564779)

👤
Provider Name / Credentials Updated September 25, 2013

Recorded as CLYDE EDWARDS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2013

Physician Assistant (License #102843 in NC)

🟢
Initial NPI Registration & Enumeration October 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194716241
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2005
Last Update: September 25, 2013
Sole Proprietor: No

Mailing Address

1655 Wake Dr, Suite 101

Wake Forest, NC 275874745

Phone: 9195564779

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.