DR. CHARLES LINDSAY EDWARDS (M.D.) – Psychiatry Physician, NPI 1063505972

DR. CHARLES LINDSAY EDWARDS (M.D.) is a healthcare provider. based in Sonora, California. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. G12322 (CA). The NPI Number for DR. CHARLES LINDSAY EDWARDS (M.D.) is 1063505972

Main info

Male
Sole Proprietor
61 Years Of Experience
Name
DR. CHARLES LINDSAY EDWARDS (M.D.)
NPI
1063505972
Phone
(209) 571-7646
Address
17860 Wards Ferry Rd
Enumeration Date
2 October 2006
Last Update Date
13 October 2021

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2097426144
Graduation Year
1965 (61 years ago)
PAC ID
1456369974
Group Practice PAC ID
8325936974
Professional Enrollment ID
I20060324000538
Address ID
CA953389524MA5204XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,134 PSYCHIATRY in CA

Provider Addresses for DR. CHARLES LINDSAY EDWARDS (M.D.)

  • 17860 Wards Ferry Rd

    Sonora, CA 953708655

    Phone: (209) 571-7646

    Type: Location

  • 13975 MONO WAY STE H

    SONORA, CA 953702824

    Phone: (209) 533-9606

    Type: Location

  • 17860, Wards Ferry Road, Sonora Ranchettes, Sonora, Tuolumne County, California, 95370, United States

    SONORA, CA 953708655

    Phone: (209) 571-7646

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-11-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060324000538IPsychiatryCATBD
I20241127000155IPsychiatryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95370)

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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: 8325936974View full group profile
NameSpecialtyState
Nurse PractitionerCA
C H I R O P R A C T I CID
Nurse PractitionerCA
Physician AssistantCA
C H I R O P R A C T I CCA
General Practice, Internal Medicine, Internal MedicineCA
General Practice, Family Practice, Family Practice, Internal MedicineCA
P S Y C H I A T R YCA
Clinical Social WorkerCA
-CA

Reviews

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Frequently asked questions

Where can patients find DR. CHARLES LINDSAY EDWARDS (M.D.)'s NPI?
You can confirm DR. CHARLES LINDSAY EDWARDS (M.D.) with NPI 1063505972; it appears in the national provider directory.
Is DR. CHARLES LINDSAY EDWARDS (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. CHARLES LINDSAY EDWARDS (M.D.) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for DR. CHARLES LINDSAY EDWARDS (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. CHARLES LINDSAY EDWARDS (M.D.) practice in California?
You will see Sonora, California on file for DR. CHARLES LINDSAY EDWARDS (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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