JOHN LEE EDWARDS (MD) – Obstetrics & Gynecology Physician, NPI 1104835255

JOHN LEE EDWARDS (MD) is a healthcare provider. based in Birmingham, Alabama. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 16050 (AL). The NPI Number for JOHN LEE EDWARDS (MD) is 1104835255

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
JOHN LEE EDWARDS (MD)
NPI
1104835255
Phone
(205) 930-1800
Address
806 SAINT VINCENTS DR
Enumeration Date
7 August 2006
Last Update Date
23 August 2016

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
20593018001847
Graduation Year
1988 (38 years ago)
PAC ID
2264572643
Group Practice PAC ID
9133152697
Professional Enrollment ID
I20101221000879
Address ID
AL352051616BI806XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

587 OBSTETRICS/GYNECOLOGY in AL

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Provider Addresses for JOHN LEE EDWARDS (MD)

  • Bruno Conference Center, 806, Saint Vincent's Drive, Highland Avenue Historic District, Highland Residence Park, Birmingham, Jefferson County, Alabama, 35205, United States

    SUITE 500

    BIRMINGHAM, AL 352051684

    Phone: (205) 930-1800

    Fax: (205) 930-1817

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $315.

Total Amount is formed as General ($315) + Research ($0) + Ownership ($0) = $315.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Baxter Healthcare ($139).

Total Amount

$315

General + Research + Ownership

Payments

13

Total payment records

General Amount

$315

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101221000879IObstetrics/GynecologyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0328Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous9595$0
99214Established patient office or other outpatient visit, 30-39 minutes7058$0
77067Screening mammography6767$0
77063Screening 3d breast mammography6363$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3838$0
View full utilization report →

Insurance plans in this area (ZIP 35205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133152697View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YOK
O B S T E T R I C S/ G Y N E C O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YAL
-AL
O B S T E T R I C S/ G Y N E C O L O G YAL
Physician AssistantAL

Reviews

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Frequently asked questions

Can I cross-check JOHN LEE EDWARDS (MD) using NPI 1104835255?
NPI 1104835255 belongs to JOHN LEE EDWARDS (MD); compare other details if you need extra assurance.
Active or inactive — what applies to JOHN LEE EDWARDS (MD)?
You should see JOHN LEE EDWARDS (MD) as active in CMS-hosted NPPES data.
What kind of doctor is JOHN LEE EDWARDS (MD)?
JOHN LEE EDWARDS (MD) is associated with Obstetrics & Gynecology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with JOHN LEE EDWARDS (MD)?
Directory geography for JOHN LEE EDWARDS (MD) centers on Birmingham, Alabama.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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