Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396254009 Individual Practitioner Female Practitioner

Stacy Edgar , PA-C

Physician Assistant • Marietta, OH

Professional Overview & Biography Verified Profile Summary

Stacy Edgar, PA-C is a registered healthcare professional specializing in Physician Assistant in Marietta, OH. Practice services are available at 401 MATTHEW ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

401 Matthew St

Marietta, OH 457501635

Telephone 7403761939
Fax 7403741693
Associated Practice Facility / Clinic
🏢 Marietta Memorial Hospital Facility NPI 1215936927

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Marietta, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.9 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
74 Specialists

Practicing in Marietta, OH (5376 Statewide)

Telehealth Adoption Rate
9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
26 26 $253.50 $72.35

Medical Specialties & State Licenses

CMS Verified: 2025-08-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.007774RX

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License SC 3013

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License VA 0110007485

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License IN 10002314A

Definition to come...

Practice Associates & Co-Workers

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

36 Associated Practitioners
Constance Oates , FNP

Nurse Practitioner

NPI 1013956945

Family Nurse Practitioner

Dr. Julian Jakubowski , DO

Emergency Medicine

NPI 1043448608

Doctor of Osteopathic Medicine (D.O.)

Dr. Conley Diaz-Gomez , MD

Emergency Medicine

NPI 1083294821

Doctor of Medicine (M.D.)

Dr. Terry Carr , DO

Emergency Medicine

NPI 1083881031

Doctor of Osteopathic Medicine (D.O.)

Dr. Maxwell Beers , MD

Emergency Medicine

NPI 1154066454

Doctor of Medicine (M.D.)

Dr. Uchenna Aguwa , DO

Emergency Medicine

NPI 1164625950

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

27 Historical Events
📍
Updated Practice Location August 13, 2025

Registered at 401 MATTHEW ST, MARIETTA, OH 457501635 (Tel: 7403761939)

📍
Updated Business Mailing Address August 13, 2025

Registered at 401 MATTHEW ST, MARIETTA, OH 457501635 (Tel: 3044830515)

📍
Updated Practice Location November 08, 2022

Registered at 800 PIKE ST STE 2, EXPRESS CARE MARIETTA, MARIETTA, OH 457503507 (Tel: 7403733960)

📍
Updated Business Mailing Address November 08, 2022

Registered at 800 PIKE ST STE 2, MARIETTA, OH 457503507 (Tel: 3044830515)

📍
Updated Practice Location September 13, 2022

Registered at 800 PIKE ST STE 2, MARIETTA, OH 457503507 (Tel: 7403733960)

📍
Updated Business Mailing Address June 14, 2021

Registered at 5000 COX RD, GLEN ALLEN, VA 230609263 (Tel: 8048224355)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2021

Physician Assistant (License #3013 in SC)

📍
Updated Practice Location December 01, 2020

Registered at 8110 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 232355116 (Tel: 8043208160)

📍
Updated Business Mailing Address December 01, 2020

Registered at PO BOX 758952, BALTIMORE, MD 212758952

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2020

Physician Assistant (License #0110007485 in VA)

📍
Updated Practice Location December 04, 2019

Registered at 101 E WOOD ST, SPARTANBURG, SC 293033040 (Tel: 8645606000)

📍
Updated Business Mailing Address December 04, 2019

Registered at PO BOX 743070, ATLANTA, GA 303743070

👤
Provider Name / Credentials Updated December 04, 2019

Recorded as STACY EDGAR, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2019

Physician Assistant (License #3013 in SC)

📍
Updated Practice Location August 25, 2018

Registered at 2498 N PLEASANTBURG DR, GREENVILLE, SC 29609 (Tel: 8643055000)

📍
Updated Business Mailing Address August 25, 2018

Registered at 2498 N PLEASANTBURG DR, GREENVILLE, SC 296092730 (Tel: 8643055000)

NPI Profile Active October 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 25, 2017

Registered at 2401 W UNIVERSITY AVE, MUNCIE, IN 473033428 (Tel: (765) 751-1720)

📍
Updated Business Mailing Address October 25, 2017

Registered at 2401 W UNIVERSITY AVE, MUNCIE, IN 473033428 (Tel: 7657511720)

👤
Provider Name / Credentials Updated October 25, 2017

Recorded as STACY BLAKE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2017

Physician Assistant (License #10002314A in IN)

NPI Profile Active September 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2017

Registered at 2401 W UNIVERSITY AVE, MUNCIE, IN 473033428 (Tel: (765) 751-1720)

📍
Updated Business Mailing Address September 26, 2017

Registered at 2401 W UNIVERSITY AVE, MUNCIE, IN 473033428 (Tel: 7657511720)

👤
Provider Name / Credentials Updated September 26, 2017

Recorded as STACY BLAKE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2017

Physician Assistant (License #10002314A in IN)

🟢
Initial NPI Registration & Enumeration September 26, 2017

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: 1396254009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2017
Last Update: August 13, 2025
Sole Proprietor: Yes

Mailing Address

401 Matthew St

Marietta, OH 457501635

Phone: 3044830515

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.